Basic Information
| Provider Information | |||||||||
| NPI: | 1699872994 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BABIN | ||||||||
| FirstName: | GENE | ||||||||
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| Credential: | CRNA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 100 WOMANS WAY | ||||||||
| Address2: | |||||||||
| City: | BATON ROUGE | ||||||||
| State: | LA | ||||||||
| PostalCode: | 708175100 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2252932523 | ||||||||
| FaxNumber: | 2252931807 | ||||||||
| Practice Location | |||||||||
| Address1: | 8212 KELWOOD AVE | ||||||||
| Address2: | |||||||||
| City: | BATON ROUGE | ||||||||
| State: | LA | ||||||||
| PostalCode: | 708064801 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2259297600 | ||||||||
| FaxNumber: | 2259307524 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/20/2006 | ||||||||
| LastUpdateDate: | 05/06/2016 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 367500000X | 062871 | LA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Anesthetist, Certified Registered |
ID Information
| ID | Type | State | Issuer | Description | 1993891 | 05 | LA | MEDICAID |