1386977981 NPI number — MRS. MARGARET CLIFTON KOEHLER R.N.

Table of content: MRS. MARGARET CLIFTON KOEHLER R.N. (NPI 1386977981)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1386977981 NPI number — MRS. MARGARET CLIFTON KOEHLER R.N.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KOEHLER
Provider First Name:
MARGARET
Provider Middle Name:
CLIFTON
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
R.N.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1386977981
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/14/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
400 MARINER'S PLAZA
Provider Second Line Business Mailing Address:
SUITE 408E
Provider Business Mailing Address City Name:
MANDEVILLE
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
70448-4798
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
985-951-7997
Provider Business Mailing Address Fax Number:
985-951-7998

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
400 MARINERS PLAZA DR
Provider Second Line Business Practice Location Address:
SUITE 408E
Provider Business Practice Location Address City Name:
MANDEVILLE
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70448-4798
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
985-951-7997
Provider Business Practice Location Address Fax Number:
985-951-7998
Provider Enumeration Date:
09/14/2009

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 163W00000X , with the licence number:  RN030856 , registered in the state of LA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: RN030856 . This is a "LOUISIANA STATE BOARD OF NURSING" identifier , issued by the state of ( LA ) . This identifiers is of the category "OTHER".




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