Individual
PAULA M GATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2408 BROADMOOR BLVD, MONROE, LA 71201-2963
(318) 410-0002
Mailing address
115 KATE CIR, WEST MONROE, LA 71291-2076
(318) 396-6683
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
028952/02423
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659959
—
LA
Enumeration date
10/04/2006
Last updated
07/08/2007
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