Individual
ALICIA RUTHERFORD RESTIVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
INFIRMARY RD, BATON ROUGE, LA 70803-0001
(225) 578-5693
Mailing address
24986 ARLINGTON AVE, DENHAM SPRINGS, LA 70726-6602
(225) 667-9657
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN096234
LA
363LF0000X
Family Nurse Practitioner
AP04303
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1465861
—
LA
Enumeration date
03/04/2006
Last updated
08/12/2020
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