Individual
TRACY THOMAS GUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-BC
Contact information
Practice address
119 FUSELIER RD, ARNAUDVILLE, LA 70512-6134
(225) 936-8990
Mailing address
PO BOX 618, ARNAUDVILLE, LA 70512-0618
(225) 936-8990
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AP06308
LA
363LF0000X
Family Nurse Practitioner
Primary
RN096007-AP06308
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2144871
—
LA
Enumeration date
10/22/2010
Last updated
08/09/2021
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