Nettles, Edna Beth

Nettles, Edna Beth is an individual health care provider with primary practice located at 2706 Hessmer Ave Suite A, Metairie LA 70002-7041. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Nettles, Edna Beth can be contacted via phone (504) 754-2334.

Contact Information

Primary practice address
2706 Hessmer Ave Suite A Metairie LA 70002-7041
Phone: (504) 754-2334
Fax: (504) 324-2078
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA1680 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA200705 Louisiana

Profile Details

NPI number 1477706968
LBN Legal business name Nettles, Edna Beth
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2008
Last updated Jul 27th, 2015 - about 11 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 1477706968 NPPES
Tennessee MEDICAID 1509761
Tennessee MEDICAID 1505839
Tennessee Other 4211276

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