Provider Demographics
NPI:1285997858
Name:CATHERINE, DEIRDRE COLETTE (RN)
Entity type:Individual
Prefix:
First Name:DEIRDRE
Middle Name:COLETTE
Last Name:CATHERINE
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 1:353 N 12TH ST
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70802-4612
Mailing Address - Country:US
Mailing Address - Phone:225-342-4860
Mailing Address - Fax:
Practice Address - Street 1:353 N 12TH ST
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70802-4612
Practice Address - Country:US
Practice Address - Phone:225-242-4906
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-19
Last Update Date:2014-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN067952163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health