Provider Demographics
NPI:1548306715
Name:COLLETTE, MARGARET C (RN,C)
Entity type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:C
Last Name:COLLETTE
Suffix:
Gender:F
Credentials:RN,C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:841 AVENUE E
Mailing Address - Street 2:
Mailing Address - City:BOGALUSA
Mailing Address - State:LA
Mailing Address - Zip Code:70427-4313
Mailing Address - Country:US
Mailing Address - Phone:985-732-9535
Mailing Address - Fax:
Practice Address - Street 1:619 WILLIS AVE
Practice Address - Street 2:
Practice Address - City:BOGALUSA
Practice Address - State:LA
Practice Address - Zip Code:70427-3001
Practice Address - Country:US
Practice Address - Phone:985-732-6610
Practice Address - Fax:985-732-6626
Is Sole Proprietor?:No
Enumeration Date:2007-01-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA58580163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health