Matherne, Vickie Tessitore

Matherne, Vickie Tessitore is an individual health care provider with primary practice located at 15748 Medical Arts Dr , Hammond LA 70403-1446. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Matherne, Vickie Tessitore can be contacted via phone (985) 542-0663.

Contact Information

Primary practice address
15748 Medical Arts Dr Hammond LA 70403-1446
Phone: (985) 542-0663
Fax: (985) 542-0698
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X RN064193 Louisiana

Profile Details

NPI number 1659427417
LBN Legal business name Matherne, Vickie Tessitore
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659427417 NPPES
Louisiana MEDICAID 1543314

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