Basiliere, Katherine

Basiliere, Katherine is an individual health care provider with primary practice located at 843 Milling Ave , Luling LA 70070-4442. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Basiliere, Katherine can be contacted via phone (504) 575-3712.

Contact Information

Primary practice address
843 Milling Ave Luling LA 70070-4442
Phone: (504) 575-3712
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 394939 California
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 12868 California
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP08479 Louisiana

Profile Details

NPI number 1336277136
LBN Legal business name Basiliere, Katherine
Credentials MSN NP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2007
Last updated Sep 22nd, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336277136 NPPES
Louisiana MEDICAID 2413317

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