Pritanica I Cryer
Individual provider Active NPI Driver · Baton Rouge, LA
NPI 1972258804 · NPPES record last updated Feb 18, 2022
Key facts
- NPI
- 1972258804
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- License
- 010187048 (LA)
- Practice address
- 7939 Jefferson Hwy Apt A102
Baton Rouge, LA 70809-1201 - Phone
- (225) 892-0539
- NPI assigned
- Feb 18, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010187048 | LA | MD | Driver |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | 010187048 | LA | Yes |
Addresses
Primary practice location
7939 Jefferson Hwy Apt A102
Baton Rouge, LA 70809-1201
Mailing address
7939 Jefferson Hwy Apt A102
Baton Rouge, LA 70809-1201
Phone (225) 892-0539
Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 18, 2022. 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.