Provider Demographics
NPI:1386977981
Name:KOEHLER, MARGARET CLIFTON (RN)
Entity type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:CLIFTON
Last Name:KOEHLER
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 1:400 MARINER'S PLAZA
Mailing Address - Street 2:SUITE 408E
Mailing Address - City:MANDEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70448-4798
Mailing Address - Country:US
Mailing Address - Phone:985-951-7997
Mailing Address - Fax:985-951-7998
Practice Address - Street 1:400 MARINERS PLAZA DR
Practice Address - Street 2:SUITE 408E
Practice Address - City:MANDEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70448-4798
Practice Address - Country:US
Practice Address - Phone:985-951-7997
Practice Address - Fax:985-951-7998
Is Sole Proprietor?:No
Enumeration Date:2009-09-14
Last Update Date:2009-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN030856163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
LARN030856OtherLOUISIANA STATE BOARD OF NURSING