MEDICARE: CATHERINE D DAVID FNPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	RN043817	LA
2	363LF0000X	Family Nurse Practitioner	AP04579	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1982678728
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CATHERINE D DAVID FNPC

Provider Business Mailing Address
First Line	:	9001 SUMMA AVENUE
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70809-3726
Country	:	US
Telephone Number	:	225-761-5200
Fax Number	:

Provider Business Practice Location Address
First Line	:	9001 SUMMA AVENUE
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70809-3726
Country	:	US
Telephone Number	:	225-761-5200
Fax Number	:	225-761-5487

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/16/2006
Last Update Date	:	06/28/2011

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