Individual
GWENDOLYN D FOXWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1400 POYDRAS ST., NEW ORLEANS, LA 70112-2821
(504) 903-1940
Mailing address
2269 MILTON ST, NEW ORLEANS, LA 70122-4540
(504) 909-7788
(504) 903-1975
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APO1795
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1562793
—
LA
Enumeration date
03/23/2007
Last updated
03/14/2013
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