Provider Demographics
NPI:1023260262
Name:CRAWFORD, DENISE CHATELAIN (RNFA)
Entity type:Individual
Prefix:MRS
First Name:DENISE
Middle Name:CHATELAIN
Last Name:CRAWFORD
Suffix:
Gender:F
Credentials:RNFA
Other - Prefix:MRS
Other - First Name:DENISE
Other - Middle Name:CHATELAIN
Other - Last Name:BOURGEOIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RNFA
Mailing Address - Street 1:4228 HOUMA BLVD
Mailing Address - Street 2:SUITE 510
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70006-3000
Mailing Address - Country:US
Mailing Address - Phone:504-454-0141
Mailing Address - Fax:504-889-7205
Practice Address - Street 1:4228 HOUMA BLVD
Practice Address - Street 2:SUITE 510
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70006-3000
Practice Address - Country:US
Practice Address - Phone:504-454-0141
Practice Address - Fax:504-889-7205
Is Sole Proprietor?:No
Enumeration Date:2008-10-21
Last Update Date:2008-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN086805163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant