Nettles, Edna Beth
Nettles, Edna Beth is an individual health care provider with primary practice located at 2706 Hessmer Ave Suite A, Metairie LA 70002-7041. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Nettles, Edna Beth can be contacted via phone (504) 754-2334.Contact Information
Primary practice address
2706 Hessmer Ave Suite A
Metairie LA 70002-7041
Phone: (504) 754-2334
Fax: (504) 324-2078
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA1680 | Tennessee |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA200705 | Louisiana |
Profile Details
| NPI number | 1477706968 |
|---|---|
| LBN Legal business name | Nettles, Edna Beth |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 28th, 2008 |
| Last updated | Jul 27th, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477706968 | NPPES |
| Tennessee | MEDICAID | 1509761 | |
| Tennessee | MEDICAID | 1505839 | |
| Tennessee | Other | 4211276 |
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