Individual
GLORIA V. PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
505 ROBERT BLVD, SLIDELL, LA 70458-1645
(985) 643-6900
Mailing address
161 PEBBLE BEACH DR, SLIDELL, LA 70458-5746
(985) 781-2462
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP07191
LA
363LF0000X
Family Nurse Practitioner
RN100743
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08253729
—
MS
05
—
2324225
—
LA
Enumeration date
03/05/2013
Last updated
03/19/2023
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