Gore, Angela P

Gore, Angela P is an individual health care provider with primary practice located at 501 Medical Center Dr Suite 3A, Alexandria LA 71301-8124. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Gore, Angela P can be contacted via phone (318) 484-3899.

Contact Information

Primary practice address
501 Medical Center Dr Suite 3A Alexandria LA 71301-8124
Phone: (318) 484-3899
Fax: (318) 484-3887
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 71598APO4777 Louisiana

Profile Details

NPI number 1205942844
LBN Legal business name Gore, Angela P
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2006
Last updated Feb 2nd, 2017 - about 7 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 1205942844 NPPES
Louisiana MEDICAID 1454877

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