Provider Demographics
NPI:1619301892
Name:HRABAR, GEOFFREY (CRNA)
Entity Type:Individual
Prefix:
First Name:GEOFFREY
Middle Name:
Last Name:HRABAR
Suffix:
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 1:833 SAINT FERDINAND ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70117-7369
Mailing Address - Country:US
Mailing Address - Phone:504-444-2169
Mailing Address - Fax:
Practice Address - Street 1:833 SAINT FERDINAND ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70117-7369
Practice Address - Country:US
Practice Address - Phone:504-444-2169
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-24
Last Update Date:2013-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN128552163W00000X
MSR886652163W00000X
AL1-116345163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse