Individual
GINA RAGUSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1014 SAINT CLAIR BLVD, GONZALES, LA 70737-5023
(225) 765-5500
(225) 743-2546
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 765-5727
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP06969
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2314661
—
LA
Enumeration date
07/23/2012
Last updated
05/24/2021
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