Provider Demographics
NPI:1093717555
Name:SWIGER, CHRISTA HARDY (CRNA)
Entity Type:Individual
Prefix:
First Name:CHRISTA
Middle Name:HARDY
Last Name:SWIGER
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:124 CENTURY OAK LN
Mailing Address - Street 2:
Mailing Address - City:MANDEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70471-6436
Mailing Address - Country:US
Mailing Address - Phone:985-502-4104
Mailing Address - Fax:
Practice Address - Street 1:1100 ANDRE ST
Practice Address - Street 2:SUITE 300
Practice Address - City:NEW IBERIA
Practice Address - State:LA
Practice Address - Zip Code:70563-2159
Practice Address - Country:US
Practice Address - Phone:337-364-9225
Practice Address - Fax:337-364-6094
Is Sole Proprietor?:No
Enumeration Date:2005-08-15
Last Update Date:2013-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN057729367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1093717555OtherBCBS LA
LA1902802Medicaid
LAP01116364OtherRR MEDICARE
LA1902802Medicaid
LA1439061Medicare ID - Type UnspecifiedPROVIDER NUMBER