Paula Weaver Gates APRN

NPI 1013264878 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1013264878
Gender Female
Enumeration Date 08/11/2012
Last Updated 12/19/2013
Entity Type Individual
Active Over 4 years ago
Practice Location
188 BURT BLVD
BENTON LA, 71006-4900, US
Phone (318) 965-5017
Fax (318) 965-5019
Business Location
121 GATES DR
BENTON LA, 71006-4119, US
Phone (318) 518-8329
Fax
Toxanomy
Taxonomy Code 363LF0000X
License State Louisiana
License Number AP07052
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According to our database, Ms. Paula Weaver Gates APRN NPI is 1013264878, taxonomy code is 363LF0000X and license number is AP07052, license state is located at Louisiana. Paula Weaver Gates APRN physically located at 188 Burt Blvd, Benton LA, 71006-4900. NPI Number Paula Weaver Gates APRN has the Individual type.

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1013264878 NPI number is provided on an as is basis without warranty of any kind. 1013264878 is maintained by the National Plan & Provider Enumeration System. The contents of Paula Weaver Gates APRN are for informational purposes only.