Cothern, Andrea D

Cothern, Andrea D is an individual health care provider with primary practice located at 3401 North Blvd Suite 200, Baton Rouge LA 70806-3726. She recently has only one registered license in Nursing Service Providers / General Practice, which is considered as her primary health care specialty. Cothern, Andrea D can be contacted via phone (225) 336-3100.

Contact Information

Primary practice address
3401 North Blvd Suite 200 Baton Rouge LA 70806-3726
Phone: (225) 336-3100
Fax: (225) 336-3114
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X AP04318 Louisiana

Profile Details

NPI number 1710042122
LBN Legal business name Cothern, Andrea D
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 26th, 2006
Last updated Dec 20th, 2007 - about 19 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 1710042122 NPPES
Louisiana MEDICAID 1467804

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