Individual
MR. TREVOR AUSTIN GATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, FNP-C
Contact information
Practice address
1214 COOLIDGE BLVD, LAFAYETTE, LA 70503-2621
(337) 243-1690
(337) 205-6132
Mailing address
PO BOX 1089, HAMMOND, LA 70404-1089
(985) 892-7070
(985) 892-7017
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP09305
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
049985
CDS
LA
01
—
AP09305
APRN LICENSURE
LA
01
—
F05170617
AANP BOARD CERTIFICATION
LA
Enumeration date
05/26/2017
Last updated
03/07/2023
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