Provider Demographics
NPI:1194775049
Name:DONIAS, CHERIE A (CRNA)
Entity type:Individual
Prefix:
First Name:CHERIE
Middle Name:A
Last Name:DONIAS
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2501 PARGOUD LNDG
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71201-2311
Mailing Address - Country:US
Mailing Address - Phone:318-330-7621
Mailing Address - Fax:318-330-7648
Practice Address - Street 1:4864 JACKSON ST
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71202-6400
Practice Address - Country:US
Practice Address - Phone:318-330-7621
Practice Address - Fax:318-330-7648
Is Sole Proprietor?:No
Enumeration Date:2006-05-11
Last Update Date:2024-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVCRNA000283367500000X
LAAP06069367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV100508719Medicaid
NVP00327871Medicare PIN
NV102302Medicare PIN