Individual
MR. GREGORY L. ALTAZAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, FNP-C, CEN
Contact information
Practice address
8585 PICARDY AVE, BATON ROUGE, LA 70809-3748
(225) 763-4400
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN127549
LA
363L00000X
Nurse Practitioner
Primary
211677
LA
Other
Enumeration date
01/29/2020
Last updated
01/30/2020
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