Provider Demographics
NPI:1831965789
Name:REDLER, REBECCA CORTEZ (RN)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:CORTEZ
Last Name:REDLER
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 1:408 E LOUISIANA STATE DR
Mailing Address - Street 2:
Mailing Address - City:KENNER
Mailing Address - State:LA
Mailing Address - Zip Code:70065-4115
Mailing Address - Country:US
Mailing Address - Phone:504-339-3936
Mailing Address - Fax:
Practice Address - Street 1:3837 LOYOLA DR
Practice Address - Street 2:
Practice Address - City:KENNER
Practice Address - State:LA
Practice Address - Zip Code:70065-7703
Practice Address - Country:US
Practice Address - Phone:504-233-4720
Practice Address - Fax:504-617-6400
Is Sole Proprietor?:No
Enumeration Date:2023-12-01
Last Update Date:2023-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN123379163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool