Individual
RANDEE KIDDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-FNP-C
Contact information
Practice address
8585 PICARDY AVE STE 317, BATON ROUGE, LA 70809-3749
(225) 387-7077
(225) 442-5088
Mailing address
8490 PICARDY AVE STE 200, BATON ROUGE, LA 70809-3733
(225) 237-1790
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP07732
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2359541
—
LA
01
—
AP07732
NURSE PRACTIONER LICENSE
LA
Enumeration date
04/03/2014
Last updated
03/17/2018
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