Provider Demographics
NPI:1700149283
Name:CUTRER, GEORGETTE COOPER (REGISTER NURSE)
Entity Type:Individual
Prefix:MRS
First Name:GEORGETTE
Middle Name:COOPER
Last Name:CUTRER
Suffix:
Gender:F
Credentials:REGISTER NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:74081 N WESTMORELAND RD
Mailing Address - Street 2:
Mailing Address - City:KENTWOOD
Mailing Address - State:LA
Mailing Address - Zip Code:70444-3629
Mailing Address - Country:US
Mailing Address - Phone:985-229-2464
Mailing Address - Fax:225-222-6466
Practice Address - Street 1:53 NORTH SECOND STREET
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:LA
Practice Address - Zip Code:70441-0428
Practice Address - Country:US
Practice Address - Phone:225-222-6178
Practice Address - Fax:225-222-6466
Is Sole Proprietor?:No
Enumeration Date:2012-06-20
Last Update Date:2012-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN056454163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health