Individual provider · Type 1 NPI

Breanna Black, CRNA

Certified Registered Nurse Anesthetist · Shreveport, LA

NPI number 1821907957 Active

Practice location

1541 Kings Hwy
Shreveport, LA 71103-4228

Mailing address

605 Toulouse Ct
Bossier City, LA 71111-6266

Specialties and licenses

TaxonomyCodeLicense
Certified Registered Nurse Anesthetist Primary 367500000X202750 (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…

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About NPI 1821907957

Breanna Black, CRNA's National Provider Identifier is 1821907957, issued on Sep 3, 2026. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Shreveport, LA. The record was last updated on Sep 3, 2026.