Individual
ANDREA D COTHERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3401 NORTH BLVD, SUITE 200, BATON ROUGE, LA 70806-3726
(225) 336-3100
(225) 336-3114
Mailing address
9001 SUMMA AVENUE, BATON ROUGE, LA 70809-3726
(225) 761-5200
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
AP04318
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467804
—
LA
Enumeration date
12/26/2006
Last updated
12/20/2007
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