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Dennis Wayne Clark, CRNA
Certified Registered Nurse Anesthetist in Lake Charles, Louisiana
NPI 1710914486

Dennis Wayne Clark is a Certified Registered Nurse Anesthetist based in Ballwin, LA. Dennis Wayne Clark practices in Lake Charles, LA and has the professional credentials of CRNA. The NPI Number for Dennis Wayne Clark is 1710914486 and holds a License No. 1-097193 (Louisiana).

The current practice location address for Dennis Wayne Clark is 1757 Imperial Blvd., Lake Charles, LA and can be reached out via phone at 337-310-2832. You can also correspond with Dennis Wayne Clark through the mailing address at 13523 BARRETT PARKWAY DRIVE, BALLWIN, MO - 63021-3802 (mailing address contact number: 636-936-6868).

Location: 1757 Imperial Blvd., Lake Charles, LA, 63021-3802
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710914486
Provider Name
Dennis Wayne Clark
Credential
CRNA
Provider Entity Type
Individual
Gender
Male
Address
1757 Imperial Blvd., Lake Charles, LA, 63021-3802
Phone Number
337-310-2832
Fax Number
Provider Enumeration Date
06/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
03429236 05 MS
51511198 01 AL BCBS
051511198 05 AL
institution
Provider Business Practice Location Address Details
Address
1757 Imperial Blvd.
City
Lake Charles
State
Louisiana
Zip
70605
Phone Number
337-310-2832
Fax Number
person
Provider Business Mailing Address Details
Address
13523 Barrett Parkway Drive
City
Ballwin
State
Missouri
Zip
63021-3802
Phone Number
636-936-6868
Fax Number
636-938-1486
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Anesthetist, Certified Registered
Speciality
-
Taxonomy
367500000X
License No.
1-097193 (Alabama)
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
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