Provider Demographics
NPI:1205275187
Name:MCCRORY, EANCIA C (CRNA)
Entity type:Individual
Prefix:
First Name:EANCIA
Middle Name:C
Last Name:MCCRORY
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:EANCIA
Other - Middle Name:C
Other - Last Name:MUNDY AND ARMSTRONG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:686 N PINE ST
Mailing Address - Street 2:
Mailing Address - City:GRAMERCY
Mailing Address - State:LA
Mailing Address - Zip Code:70052-3654
Mailing Address - Country:US
Mailing Address - Phone:504-607-0995
Mailing Address - Fax:
Practice Address - Street 1:686 N PINE ST
Practice Address - Street 2:
Practice Address - City:GRAMERCY
Practice Address - State:LA
Practice Address - Zip Code:70052-3654
Practice Address - Country:US
Practice Address - Phone:504-607-0995
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-24
Last Update Date:2024-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR18625900367500000X
LAAP07535367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered