Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0200X | Nurse Practitioner - Pediatrics | RN023911APO3901 | LA |
NPI | 1043412257 |
---|---|
Provider Name | Mrs. Barbara A. Biletnikoff |
First Address | Baton Rouge, LA 70814-2003 |
Second Address | Baton Rouge, LA 70814-2003 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2007 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1118125 | (05) | LA |