Individual
GAYLE H. MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
7608 WILLOW ST, NEW ORLEANS, LA 70118-4052
(504) 861-1893
Mailing address
7608 WILLOW ST, NEW ORLEANS, LA 70118-4052
(504) 861-1893
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP04770
LA
367500000X
Certified Registered Nurse Anesthetist
ARNP9244936
FL
367500000X
Certified Registered Nurse Anesthetist
D114302
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1011835
—
LA
01
—
G4023
BCBS
FL
01
—
P00391839
RAILROAD MEDICARE
GA
Enumeration date
12/11/2006
Last updated
11/17/2007
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