Provider Demographics
NPI:1770004871
Name:POINTE COUPEE ANESTHESIA TEAM LLC
Entity Type:Organization
Organization Name:POINTE COUPEE ANESTHESIA TEAM LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CRNA/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTY
Authorized Official - Middle Name:
Authorized Official - Last Name:EAVES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-718-8302
Mailing Address - Street 1:PO BOX 4860
Mailing Address - Street 2:
Mailing Address - City:MURRELLS INLET
Mailing Address - State:SC
Mailing Address - Zip Code:29576-2698
Mailing Address - Country:US
Mailing Address - Phone:843-651-2624
Mailing Address - Fax:843-491-4023
Practice Address - Street 1:14285 WATERLOO DR STE A
Practice Address - Street 2:
Practice Address - City:VENTRESS
Practice Address - State:LA
Practice Address - Zip Code:70783-4104
Practice Address - Country:US
Practice Address - Phone:225-718-8302
Practice Address - Fax:843-491-4023
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-29
Last Update Date:2017-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty