Individual provider · Type 1 NPI
Theresa Bourg Vicknair, CRNA
Certified Registered Nurse Anesthetist · Lutcher, LA
Practice location
St James Parish Hosipital, Louisiane Ave
Lutcher, LA 70071
Mailing address
124 Jennifer Ln
La Place, LA 70068-5806
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN059871 (LA) |
| Certified Registered Nurse Anesthetist Primary | 367500000X | AP01519 (LA) |
Certified Registered Nurse Anesthetist: (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 creden…
Other certified registered nurse anesthetist providers in Lutcher
About NPI 1134100746
Theresa Bourg Vicknair, CRNA's National Provider Identifier is 1134100746, issued on Nov 10, 2005. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Lutcher, LA. The record was last updated on Sep 11, 2025.