Healthcare Provider Details

I. General information

NPI: 1902735863
Provider Name (Legal Business Name): AMINA MCCUTCHEN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5161 DUELING OAKS AVE
MARRERO LA
70072-6808
US

IV. Provider business mailing address

5161 DUELING OAKS AVE
MARRERO LA
70072-6808
US

V. Phone/Fax

Practice location:
  • Phone: 504-919-5921
  • Fax:
Mailing address:
  • Phone: 504-919-5921
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN123859
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: