Individual
DR. GABRIELLE LETORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, NNP-BC
Contact information
Practice address
200 HENRY CLAY AVE, NEW ORLEANS, LA 70118-5798
(504) 896-9418
Mailing address
3017 KENT AVE, METAIRIE, LA 70006-5106
(504) 342-8127
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
221200
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104620560
NCC
LA
01
—
221200
LA STATE BOARD OF NURSING
LA
Enumeration date
07/30/2021
Last updated
07/30/2021
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