Gros, Andre Gervais

Gros, Andre Gervais is an individual health care provider with primary practice located at 855 Belanger St Suite 209, Houma LA 70360-4463. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Gros, Andre Gervais can be contacted via phone (985) 873-0112.

Contact Information

Primary practice address
855 Belanger St Suite 209 Houma LA 70360-4463
Phone: (985) 873-0112
Fax: (985) 857-8624
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APO3855 Louisiana

Profile Details

NPI number 1215065073
LBN Legal business name Gros, Andre Gervais
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2007
Last updated Sep 25th, 2008 - about 17 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 1215065073 NPPES
Louisiana MEDICAID 1109983

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