Dean Boelter, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Minden, LA
NPI 1871639617 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1871639617
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- RN036874 (LA)
- Practice address
- 1 Medical Plaza PL
Minden, LA 71055-3330 - Phone
- (318) 377-2321
- NPI assigned
- Jan 29, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN036874 | LA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minden Anesthesiology Associates, LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Webster Anesthesiology Associates, LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN036874 | LA | Yes |
Addresses
Primary practice location
1 Medical Plaza PL
Minden, LA 71055-3330
Mailing address
265 Timberline Dr
Minden, LA 71055-8972
Phone (318) 371-6819
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1901253 | Medicaid | LA |
Other providers in Minden, LA
- Bio-Medical Applications of Louisiana, LLC
- Bio-Medical Applications of Louisiana, LLC
- Tanika Black
- Evelyne Denise Blackwell
- Andrea Natalie Blake-McMahon
- Bolger Family Medicine, Inc
- Joseph E Bolger
- Stefanie T Bond
- Kimberly Davis Branch
- Susan Paige Breard
All providers in Minden, LA · Certified Registered Nurse Anesthetist in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.