Individual
DR. VONDA LYNETTE GAITOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1625 BARATARIA BLVD, MARRERO, LA 70072-4308
(504) 309-5015
(504) 309-5012
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
599991-1097
LA
363LF0000X
Family Nurse Practitioner
Primary
AP01097
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1537853
—
LA
Enumeration date
08/11/2005
Last updated
02/22/2022
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