Ellendale Withers Gabbert in Lake Charles - Family
Ellendale Withers Gabbert - NPI 1134337017
Ellendale Withers Gabbert is a Family in Lake Charles, Louisiana. Ellendale Withers Gabbert practices all healthcare services and medical treatments related to Family. The NPI Number for Ellendale Withers Gabbert is 1134337017. The last update date is 2017-03-21.
Ellendale Withers Gabbert's current location address is 501 Dr Michael Debakey Dr, Lake Charles, Louisiana. You can contact this provider via phone number 3374338400 and fax number 3373126711. The mailing address for Ellendale Withers Gabbert is 501 Dr Michael Debakey Dr, Lake Charles, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ellendale Withers Gabbert |
|---|---|
| Address | 501 Dr Michael Debakey Dr, Lake Charles, Louisiana |
| Phone Number | 3374338400 |
| Fax Number | 3373126711 |
| Sole Proprietor | N |
| Credentials | C-FNP |
NPI Number Detail
| NPI Number | 1134337017 |
|---|---|
| Provider Enumeration Date | 2007-05-21 |
| Last Updated Date | 2017-03-21 |
Provider Mailing Address Detail
| Address | 501 Dr Michael Debakey Dr |
|---|---|
| City | Lake Charles |
| State | Louisiana (LA) |
| Post Code | 706015724 |
| Phone Number | 3374338400 |
| Fax Number | 3373126711 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 63422-3267 |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1557773 | LA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Ellendale Withers Gabbert by the Centers for Medicare & Medicaid Services?
The Ellendale Withers Gabbert has been assigned the NPI (National Provider Identifier) 1134337017 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Ellendale Withers Gabbert is physically located?
The Ellendale Withers Gabbert is situated at the following address: 501 Dr Michael Debakey Dr, Lake Charles, LA 706015724.
What is the Ellendale Withers Gabbert's area of specialization and corresponding taxonomy classification?
The Ellendale Withers Gabbert's specialty field is Family, and it falls under the taxonomy code 363Lf0000X, which categorizes healthcare providers based on their specialties.
On what date did the Ellendale Withers Gabbert receive its 1134337017 assignment from the Centers for Medicare & Medicaid Services?
The Ellendale Withers Gabbert was assigned its 1134337017 by the Centers for Medicare & Medicaid Services on 2007-05-21.
As of what date was the information pertaining to Ellendale Withers Gabbert, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Ellendale Withers Gabbert, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2017-03-21.