Basic Information
Provider Information
NPI: 1770891632
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GRAFFEO
FirstName: APRIL
MiddleName: HERNANDEZ
NamePrefix:  
NameSuffix:  
Credential: CRNA
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: HERNANDEZ
OtherFirstName: APRIL
OtherMiddleName: MICHELE
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType: 1
Mailing Information
Address1: 11414 LAKE SHERWOOD AVE N
Address2:  
City: BATON ROUGE
State: LA
PostalCode: 708160406
CountryCode: US
TelephoneNumber: 2257549478
FaxNumber:  
Practice Location
Address1: 7145 PERKINS ROAD
Address2:  
City: BATON ROUGE
State: LA
PostalCode: 706084322
CountryCode: US
TelephoneNumber: 2257653111
FaxNumber: 2257653114
Other Information
ProviderEnumerationDate: 09/14/2010
LastUpdateDate: 11/21/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
367500000XAP06298LAY Physician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered 
367500000XRN107299LAN Physician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered 

No ID Information.


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