Individual
GARY RUSSELL YORK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN NNP BC
Contact information
Practice address
5825 AIRLINE HWY, BATON ROUGE, LA 70805-2408
(225) 922-0488
Mailing address
433 BOLIVAR ST, NEW ORLEANS, LA 70112-2256
Taxonomy
Speciality
Code
Description
License number
State
364SN0000X
Neonatal Clinical Nurse Specialist
Primary
RN068701 AP04672
LA
Other
Enumeration date
06/10/2009
Last updated
06/10/2009
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