Gregoire, Amanda G

Gregoire, Amanda G is an individual health care provider with primary practice located at 4429 Clara St Ste 340, New Orleans LA 70115-6902. 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. Gregoire, Amanda G can be contacted via phone (504) 412-1100.

Contact Information

Primary practice address
4429 Clara St Ste 340 New Orleans LA 70115-6902
Phone: (504) 412-1100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP06895 Louisiana

Profile Details

NPI number 1356686786
LBN Legal business name Gregoire, Amanda G
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2012
Last updated Feb 11th, 2013 - about 13 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1356686786 NPPES
Louisiana MEDICAID 2322478

Popular Providers