Individual
MRS. ELLEN RUTH GENTILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3101 CYPRESS ST, WEST MONROE, LA 71291-5286
(318) 644-2573
(318) 644-7177
Mailing address
3101 CYPRESS ST, WEST MONROE, LA 71291-5286
(318) 644-2573
(318) 644-7177
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP06610
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2383027
—
LA
Enumeration date
08/22/2011
Last updated
11/11/2016
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