Search › Louisiana › 183500000X
Robert Nethery
NPI 1083020838 · on the registry since 2014 · sole proprietor
Practice
- Address
- 1100 W Pine St
Ponchatoula, LA 70454 - Phone
- (985) 386-2421
- Fax
- (985) 386-5988
- Organisation at this address
- Walgreen Co
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-12-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana