Provider Demographics
NPI:1700088465
Name:ADHIKARI, LAURA (CRNA)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:ADHIKARI
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:A
Other - Last Name:DOWNIE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNA
Mailing Address - Street 1:1415 TULANE AVE
Mailing Address - Street 2:HC 71
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70112-2600
Mailing Address - Country:US
Mailing Address - Phone:504-988-5881
Mailing Address - Fax:866-403-1780
Practice Address - Street 1:801 S CHEVY CHASE DR STE 106
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91205-4437
Practice Address - Country:US
Practice Address - Phone:818-265-2275
Practice Address - Fax:818-649-1034
Is Sole Proprietor?:No
Enumeration Date:2007-06-04
Last Update Date:2024-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP03871363L00000X, 367500000X
MS901633367500000X
LARN085639163W00000X
CA95002233367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009912364Medicaid
MS00082302Medicaid
LA1024074Medicaid
LA1024074Medicaid