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NPI Code Detail

MEDICARE: MRS. CATHERINE ANN GROEGER APRN

MEDICARE: MRS. CATHERINE ANN GROEGER APRN
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
1363LF0000XFamily Nurse PractitionerRN036756 AP01798LA

Other Identifiers

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

General Provider Information

NPI Number : 1417993320
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CATHERINE ANN GROEGER APRN
Provider Business Mailing Address
First Line : 1450 COTTONWOOD DR
Second Line :
City : DENHAM SPRINGS
State : LA
Zip : 70726-2741
Country : US
Telephone Number : 225-665-7877
Fax Number :
Provider Business Practice Location Address
First Line : 1651 HIGHWAY 51
Second Line : STE. #4
City : PONCHATOULA
State : LA
Zip : 70454-6376
Country : US
Telephone Number : 985-386-3405
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2006
Last Update Date : 07/08/2007

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