Gootee, Mary Patricia

Gootee, Mary Patricia is an individual health care provider with primary practice located at 1631 Elysian Fields Ave , New Orleans LA 70117. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Gootee, Mary Patricia can be contacted via phone (504) 821-2601.

Contact Information

Primary practice address
1631 Elysian Fields Ave New Orleans LA 70117
Phone: (504) 821-2601
Fax: (504) 814-6047
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 369991171 Louisiana

Profile Details

NPI number 1669470472
LBN Legal business name Gootee, Mary Patricia
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2005
Last updated Apr 12th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669470472 NPPES
Louisiana MEDICAID 1550493

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