Provider Demographics
NPI:1265517965
Name:QUATMAN, CATHERINE JANE (FNP)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:JANE
Last Name:QUATMAN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:827 BAYOU GARDENS BLVD
Mailing Address - Street 2:
Mailing Address - City:HOUMA
Mailing Address - State:LA
Mailing Address - Zip Code:70364-1464
Mailing Address - Country:US
Mailing Address - Phone:985-853-2343
Mailing Address - Fax:985-853-0589
Practice Address - Street 1:827 BAYOU GARDENS BLVD
Practice Address - Street 2:
Practice Address - City:HOUMA
Practice Address - State:LA
Practice Address - Zip Code:70364-1464
Practice Address - Country:US
Practice Address - Phone:985-853-2343
Practice Address - Fax:985-853-0589
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP04796363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1506800Medicaid
LAQ59544Medicare UPIN
LA4H720CB56Medicare ID - Type Unspecified