Restivo, Alicia Rutherford

Restivo, Alicia Rutherford is an individual health care provider with primary practice located at Infirmary Rd , Baton Rouge LA 70803-0001. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Restivo, Alicia Rutherford can be contacted via phone (225) 578-5693.

Contact Information

Primary practice address
Infirmary Rd Baton Rouge LA 70803-0001
Phone: (225) 578-5693
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP04303 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN096234 Louisiana

Profile Details

NPI number 1356318620
LBN Legal business name Restivo, Alicia Rutherford
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 4th, 2006
Last updated Aug 12th, 2020 - about 6 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 1356318620 NPPES
Louisiana MEDICAID 1465861

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