Labatte-Deneau, Gusti

Labatte-Deneau, Gusti is an sole proprietor health care provider with primary practice located at 1632 Sw Ivy St , Port St Lucie FL 34987-2248. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Labatte-Deneau, Gusti can be contacted via phone (917) 207-4785.

Contact Information

Primary practice address
1632 Sw Ivy St Port St Lucie FL 34987-2248
Phone: (917) 207-4785
Fax: (718) 740-9876
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 304259 New York
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X ARNP9263802 Florida
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 9263802 Florida

Profile Details

NPI number 1982863163
LBN Legal business name Labatte-Deneau, Gusti
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 3rd, 2008
Last updated Oct 2nd, 2017 - about 9 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 1982863163 NPPES
Florida Other DI234Y MEDICARE PTAN
Florida MEDICAID 016402900 MEDICARE PTAN

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