Individual
MR. MARCUS R. ROVIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
1014 SAINT CLAIR BLVD, GONZALES, LA 70737
(225) 765-5500
(225) 765-9196
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 765-5500
(225) 765-6916
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
02810
LA
363LF0000X
Family Nurse Practitioner
2810
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1685364
—
LA
Enumeration date
08/30/2005
Last updated
11/02/2023
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