Individual
GABRIELLE JULIE WURZLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1320 MARTIN LUTHER KING DR, THIBODAUX, LA 70301-4886
(985) 446-2021
(985) 447-1546
Mailing address
1320 MARTIN LUTHER KING DR, THIBODAUX, LA 70301-4886
(985) 446-2021
(985) 447-1546
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP07884
LA
363LF0000X
Family Nurse Practitioner
Primary
AP07884
LA
Other
Enumeration date
08/12/2014
Last updated
12/28/2021
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