Individual
MAITTE CORONADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7777 HENNESSY BLVD STE 212, BATON ROUGE, LA 70808-4365
(225) 374-0320
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 374-0320
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
201382
LA
363LF0000X
Family Nurse Practitioner
Primary
201382
LA
Other
Enumeration date
03/20/2026
Last updated
03/23/2026
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