Provider Demographics
NPI:1982687646
Name:LAPEYROUSE, MICHELLE ANNE (CRNA)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:ANNE
Last Name:LAPEYROUSE
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:MICHELLE
Other - Middle Name:ANNE
Other - Last Name:ABADIE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNA
Mailing Address - Street 1:7213 WESTMINISTER DR
Mailing Address - Street 2:
Mailing Address - City:HARAHAN
Mailing Address - State:LA
Mailing Address - Zip Code:70123-4828
Mailing Address - Country:US
Mailing Address - Phone:504-975-9297
Mailing Address - Fax:
Practice Address - Street 1:7213 WESTMINISTER DR
Practice Address - Street 2:
Practice Address - City:HARAHAN
Practice Address - State:LA
Practice Address - Zip Code:70123-4828
Practice Address - Country:US
Practice Address - Phone:504-975-9297
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-11-26
Last Update Date:2022-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP03620367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS03038578Medicaid
LA1429201Medicaid
AL009941221Medicaid
LA$$$$$$$$$AOtherBCBS OF LA
MS03038578Medicaid