Provider Demographics
NPI:1295849503
Name:FLEMING, KATHERINE T (RN)
Entity Type:Individual
Prefix:MS
First Name:KATHERINE
Middle Name:T
Last Name:FLEMING
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 1:1808 JEWEL ST
Mailing Address - Street 2:
Mailing Address - City:PINEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:71360-5157
Mailing Address - Country:US
Mailing Address - Phone:318-443-6941
Mailing Address - Fax:
Practice Address - Street 1:CLSH/RRTC
Practice Address - Street 2:UNIT#6 MEADOW LANE
Practice Address - City:PINEVILLE
Practice Address - State:LA
Practice Address - Zip Code:71630
Practice Address - Country:US
Practice Address - Phone:318-484-6354
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA40328163WA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA0400XNursing Service ProvidersRegistered NurseAddiction (Substance Use Disorder)