Theresa Bourg Vicknair, CRNA
NPI #1134100746 in Lutcher, Louisiana
Provider Information
- NPI Number
- 1134100746
- Entity Type
- Individual
- Name
- Theresa Bourg Vicknair, CRNA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Credential
- CRNA
- Enumeration Date
- Nov 10, 2005
- Last Updated
- Sep 11, 2025
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
| Nurse Anesthetist, Certified Registered |
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