Provider Demographics
NPI:1467798710
Name:CANTIN, PATRICIA (RN, CDE)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:
Last Name:CANTIN
Suffix:
Gender:F
Credentials:RN, CDE
Other - Prefix:
Other - First Name:PATRICIA
Other - Middle Name:
Other - Last Name:CANTIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN,CDE
Mailing Address - Street 1:16777 MEDICAL CENTER DR
Mailing Address - Street 2:SUITE 400
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70816-3254
Mailing Address - Country:US
Mailing Address - Phone:225-925-7200
Mailing Address - Fax:225-952-8502
Practice Address - Street 1:3838 N CAUSEWAY BLVD
Practice Address - Street 2:SUITE 2200
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002-8194
Practice Address - Country:US
Practice Address - Phone:225-952-8798
Practice Address - Fax:225-952-8502
Is Sole Proprietor?:No
Enumeration Date:2012-12-13
Last Update Date:2012-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA21210072133NN1002X
LARN03411163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education
No163W00000XNursing Service ProvidersRegistered Nurse