Matherne, Vickie Tessitore
Matherne, Vickie Tessitore is an individual health care provider with primary practice located at 15748 Medical Arts Dr , Hammond LA 70403-1446. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Matherne, Vickie Tessitore can be contacted via phone (985) 542-0663.Contact Information
Primary practice address
15748 Medical Arts Dr
Hammond LA 70403-1446
Phone: (985) 542-0663
Fax: (985) 542-0698
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | RN064193 | Louisiana |
Profile Details
| NPI number | 1659427417 |
|---|---|
| LBN Legal business name | Matherne, Vickie Tessitore |
| Credentials | Certified Nurse Midwife (CNM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 26th, 2007 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659427417 | NPPES |
| Louisiana | MEDICAID | 1543314 |
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