Provider Demographics
NPI:1104562685
Name:COUTURE, RHONDA CALCAGNO (RN)
Entity type:Individual
Prefix:
First Name:RHONDA
Middle Name:CALCAGNO
Last Name:COUTURE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:81419 HIGHWAY 21
Mailing Address - Street 2:
Mailing Address - City:BUSH
Mailing Address - State:LA
Mailing Address - Zip Code:70431-4411
Mailing Address - Country:US
Mailing Address - Phone:985-886-3273
Mailing Address - Fax:985-886-2228
Practice Address - Street 1:81419 HIGHWAY 21
Practice Address - Street 2:
Practice Address - City:BUSH
Practice Address - State:LA
Practice Address - Zip Code:70431-4411
Practice Address - Country:US
Practice Address - Phone:985-886-3273
Practice Address - Fax:985-886-2228
Is Sole Proprietor?:No
Enumeration Date:2022-05-09
Last Update Date:2022-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA82105163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool