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NPI Code Detail

MEDICARE: MRS. KATHERINE L PERKINS APRN

MEDICARE: MRS. KATHERINE L PERKINS 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
12084P0800XPsychiatry PhysicianAP08223LA
2363LP0200XPediatric Nurse PractitionerAP08223LA
3363LP0808XPsychiatric/Mental Health Nurse PractitionerAP08223LA

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 : 1942676911
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KATHERINE L PERKINS APRN
Provider Business Mailing Address
First Line : 1215 INDEPENDENCE BLVD STE B
Second Line :
City : ZACHARY
State : LA
Zip : 70791-7390
Country : US
Telephone Number : 225-376-2128
Fax Number : 866-493-3436
Provider Business Practice Location Address
First Line : 1215 INDEPENDENCE BLVD STE B
Second Line :
City : ZACHARY
State : LA
Zip : 70791-7390
Country : US
Telephone Number : 225-376-2128
Fax Number : 866-493-3436
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2015
Last Update Date : 02/27/2024

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