Individual
MS. PAULA WEAVER GATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4855 HIGHWAY 10 WEST, SUITE C, ELIZABETH, LA 70638
(318) 306-6055
(318) 306-6054
Mailing address
912 BRYAN ST, COTTONPORT, LA 71327-4288
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP07052
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
021512
LA PA ID
LA
05
—
2345419
—
LA
01
—
AP07052
:APRN LICENSE NO
LA
Enumeration date
08/11/2012
Last updated
11/18/2024
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