MEDICARE: MRS. VANESSA NGUYEN GEHRING NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2200X	Adult Health Nurse Practitioner	ANT9261578	FL
2	363LA2200X	Adult Health Nurse Practitioner	AP05150	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1063624096
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. VANESSA NGUYEN GEHRING NP

Provider Business Mailing Address
First Line	:	4626 ALCEE FORTIER BLVD
Second Line	:	SUITE D
City	:	NEW ORLEANS
State	:	LA
Zip	:	70129-2130
Country	:	US
Telephone Number	:	504-255-8665
Fax Number	:	504-254-6446

Provider Business Practice Location Address
First Line	:	4626 ALCEE FORTIER BLVD
Second Line	:	SUITE D
City	:	NEW ORLEANS
State	:	LA
Zip	:	70129-2130
Country	:	US
Telephone Number	:	504-255-8665
Fax Number	:	524-254-6446

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/03/2007
Last Update Date	:	10/17/2013

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