Individual
COLEATHA ZELDA FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1401 N FOSTER DR, BATON ROUGE, LA 70806-1818
(225) 358-4853
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 358-4853
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
06599
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01626764
—
MS
05
—
2158333
—
LA
Enumeration date
07/08/2011
Last updated
04/07/2026
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