Individual
MS. KATHERINE BASILIERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN NP
Contact information
Practice address
843 MILLING AVE, LULING, LA 70070-4442
(504) 575-3712
Mailing address
2900 INDIANA AVENUE, KENNER, LA 70065-4605
(504) 575-2712
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
12868
CA
363LF0000X
Family Nurse Practitioner
394939
CA
363LF0000X
Family Nurse Practitioner
Primary
AP08479
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2413317
—
LA
Enumeration date
03/01/2007
Last updated
09/22/2017
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