Provider Demographics
NPI:1497737704
Name:ARCARIO, JANE ANN (CRNA)
Entity Type:Individual
Prefix:MRS
First Name:JANE ANN
Middle Name:
Last Name:ARCARIO
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 1:242 BLUE CRANE 1 DR
Mailing Address - Street 2:
Mailing Address - City:SLIDELL
Mailing Address - State:LA
Mailing Address - Zip Code:70461-3219
Mailing Address - Country:US
Mailing Address - Phone:985-649-2114
Mailing Address - Fax:
Practice Address - Street 1:1541 TULANE AVE
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70112-2821
Practice Address - Country:US
Practice Address - Phone:504-903-0283
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-11-14
Last Update Date:2014-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN072620-AP03295367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL1497737704Medicaid
LA1018368Medicaid
LA56844Medicaid
MS00879881Medicaid
LAP11344Medicare UPIN
MS00879881Medicaid
LA1018368Medicaid