Provider Demographics
NPI:1972541308
Name:BURAS, JAY (CRNA)
Entity type:Individual
Prefix:
First Name:JAY
Middle Name:
Last Name:BURAS
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1608 CUTTYSARK CV
Mailing Address - Street 2:
Mailing Address - City:SLIDELL
Mailing Address - State:LA
Mailing Address - Zip Code:70458-6206
Mailing Address - Country:US
Mailing Address - Phone:504-235-3483
Mailing Address - Fax:
Practice Address - Street 1:1608 CUTTYSARK CV
Practice Address - Street 2:
Practice Address - City:SLIDELL
Practice Address - State:LA
Practice Address - Zip Code:70458-6206
Practice Address - Country:US
Practice Address - Phone:504-235-3483
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA03416367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA03416OtherADVANCED PRACTICE
LA074774OtherRN LICENSE