Individual
KIM C. FUGARINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
42388 PELICAN PROFESSIONAL PARK, HAMMOND, LA 70403-2412
(985) 542-6251
Mailing address
42388 PELICAN PROFESSIONAL PARK, HAMMOND, LA 70403-2412
(855) 426-2519
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
218007
LA
Other
Enumeration date
04/19/2021
Last updated
01/13/2022
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