ANDREA D COTHERN


Address: 3401 North Blvd, Suite 200, Baton Rouge, LA 70806-3726
Phone: 2253363100

ANDREA D COTHERN (NPI# 1710042122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710042122
Entity Type Individual
Full Name ANDREA D COTHERN
Credential NP
Practice Address 3401 North Blvd
Suite 200
Baton Rouge
LA 70806-3726
Mailing Address 9001 Summa Avenue
Baton Rouge
LA 70809-3726
Practice Telephone 2253363100
Practice Fax Number 2253363114
Mailing Telephone 2257615200
Enumeration Date 2006-12-26
Last Update Date 2007-12-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WG0000X Registered Nurse
Specialization: General Practice
AP04318 LA Nursing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
LA 1467804 05

Office Location

Street Address 3401 NORTH BLVD
SUITE 200
City BATON ROUGE
State LA
Zip Code 70806-3726

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NPI Name Taxonomy Address Enumeration
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1851719652 Robreka King Clinical Nurse Specialist 3401 North Blvd, Suite #200-b, Baton Rouge, LA 70806-3743 2014-03-31
1801219043 Baton Rouge General Physicians, Inc. Nurse Practitioner 3401 North Blvd, Suite #200a, Baton Rouge, LA 70806-3743 2014-01-23
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NPI Name Taxonomy Address Enumeration
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1588299812 Iraneeka S Gustave Peer Specialist Kelwood Ave, 8326 Kelwood Ave, Baton Rouge, LA 70806 2020-03-06
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1437713997 Dental Solutions, LLC Dentist 5629 Government St, Baton Rouge, LA 70806 2019-04-30
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Taxonomy Information

Taxonomy Code 163WG0000X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization General Practice

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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NPI Name Taxonomy Address Enumeration
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1427564137 Alfred E Williams Registered Nurse 3546 Rue Colette, New Orleans, LA 70131-5431 2017-12-18
1487169678 Chancelyn Penn Registered Nurse 607 Gaudet Dr, Marrero, LA 70072-2228 2017-12-10
1942714324 Varaka Neshea Rhone Registered Nurse 10003 Carlsbad Dr, Shreveport, LA 71115-3424 2017-11-21
1700309721 Tonyell Lebeau Woodridge Registered Nurse 40435 Augustin Ave, Prairieville, LA 70769-5868 2017-07-21
1750810529 Catina Gordon-oates Registered Nurse 645 Oleander Ln, Westwego, LA 70094-5722 2017-06-06
1558624114 Alicia Ann Barthe'-prevost Registered Nurse 1833 Kabel Dr, New Orleans, LA 70131-5205 2012-06-19
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Competitor

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City BATON ROUGE
Zip Code 70806

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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