Individual
CATHERINE FORD TALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7777 HENNESSY BLVD, SUITE 211, BATON ROUGE, LA 70808-4300
(225) 765-7163
Mailing address
PO BOX 80093, BATON ROUGE, LA 70898-0093
(800) 684-0857
(405) 844-1794
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN 115596
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2191012
—
LA
Enumeration date
01/13/2012
Last updated
10/19/2012
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