Individual provider · NPI-1

Dr. Annarita Nicosia, M.D.

Medical Genetics, Molecular Genetic Pathology · Baton Rouge, LA

NPI number1740662899
StatusActive
Last updated in NPPESNov 1, 2022

Details

NPI
1740662899
Entity type
Individual (NPI-1)
Name
Dr. Annarita Nicosia
Credential
M.D.
Sex
Female
Sole proprietor
No
Enumeration date
Jun 25, 2015
Certification date
Nov 1, 2022
Last updated
Nov 1, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207SM0001X Medical Genetics, Molecular Genetic Pathology330510LAYes
390200000X Student in an Organized Health Care Education/Training ProgramMT209482PA

Practice location

8415 Goodwood Blvd Ste 202b
Baton Rouge, LA 70806-7851

Phone 225-765-8988 · Fax 225-765-1173

Mailing address

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038

Phone 225-765-8988

Other practice locations

1 Baylor Plz
Houston, TX 77030-3411

Phone 713-798-4951

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