Provider Demographics
NPI:1265050223
Name:PRATT, KATHY G (RN)
Entity type:Individual
Prefix:
First Name:KATHY
Middle Name:G
Last Name:PRATT
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 1:3900 N CAUSEWAY BLVD STE 625
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70002-1771
Mailing Address - Country:US
Mailing Address - Phone:504-262-9037
Mailing Address - Fax:504-779-5515
Practice Address - Street 1:3900 N CAUSEWAY BLVD STE 625
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002-1771
Practice Address - Country:US
Practice Address - Phone:504-262-9037
Practice Address - Fax:504-779-5515
Is Sole Proprietor?:No
Enumeration Date:2020-07-07
Last Update Date:2020-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA053298163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator