Individual
KATHRYN MARIE ISTRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2770 3RD AVE STE 110, LAKE CHARLES, LA 70601-0404
(337) 494-4747
(337) 494-4773
Mailing address
PO BOX 122425 DEPT 2425, DALLAS, TX 75312-0001
(337) 494-2921
(337) 494-6523
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
218803
LA
363LF0000X
Family Nurse Practitioner
Primary
218803
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
218803
STATE LICENSE
LA
05
—
2574809
—
LA
Enumeration date
11/03/2021
Last updated
09/26/2022
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