Individual
MARY KATHERINE NEGROTTO GUNTHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2500 BELLE CHASSE HWY, TERRYTOWN, LA 70056-7127
(504) 392-3131
Mailing address
2500 BELLE CHASSE HWY, TERRYTOWN, LA 70056-7127
(504) 392-3131
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.200695
LA
363A00000X
Physician Assistant
PA00534
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02424756
—
MS
05
—
2370464
—
LA
Enumeration date
06/09/2014
Last updated
07/15/2021
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