Provider Demographics
NPI:1710280631
Name:WHITE LANGLOIS, ALEXSIS (RN, BSN, CRNA)
Entity Type:Individual
Prefix:MRS
First Name:ALEXSIS
Middle Name:
Last Name:WHITE LANGLOIS
Suffix:
Gender:F
Credentials:RN, BSN, CRNA
Other - Prefix:MISS
Other - First Name:ALEXSIS
Other - Middle Name:ADAIRE
Other - Last Name:WHITE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, BSN, CRNA
Mailing Address - Street 1:39509 MADISON AVE
Mailing Address - Street 2:
Mailing Address - City:PRAIRIEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70769-4987
Mailing Address - Country:US
Mailing Address - Phone:225-622-3904
Mailing Address - Fax:
Practice Address - Street 1:39509 MADISON AVE
Practice Address - Street 2:
Practice Address - City:PRAIRIEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70769-4987
Practice Address - Country:US
Practice Address - Phone:225-622-3904
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-15
Last Update Date:2010-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA109942367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered