Individual
AMANDA G GREGOIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4429 CLARA ST, STE 340, NEW ORLEANS, LA 70115-6902
(504) 412-1100
Mailing address
3700 SAINT CHARLES AVE, NEW ORLEANS, LA 70115-4637
(504) 412-1100
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP06895
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2322478
—
LA
Enumeration date
12/12/2012
Last updated
02/11/2013
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