Provider Demographics
NPI:1417141748
Name:SAVOIS, EDWARD III (CRNA)
Entity Type:Individual
Prefix:
First Name:EDWARD
Middle Name:
Last Name:SAVOIS
Suffix:III
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3711 RUE DENISE
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70131-5455
Mailing Address - Country:US
Mailing Address - Phone:504-832-4200
Mailing Address - Fax:504-378-5121
Practice Address - Street 1:2525 SEVERN AVE
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002-5932
Practice Address - Country:US
Practice Address - Phone:504-832-4200
Practice Address - Fax:504-378-5121
Is Sole Proprietor?:No
Enumeration Date:2007-08-29
Last Update Date:2007-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN035075163W00000X
LARN035075 AP01379367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse