MEDICARE: MR. AARON JEFFREY GLOTH PMHNP

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	227192	LA

General Provider Information

NPI Number	:	1518687482
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. AARON JEFFREY GLOTH PMHNP

Provider Business Mailing Address
First Line	:	325 MOUTON ST
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70124-2319
Country	:	US
Telephone Number	:	480-444-8793
Fax Number	:

Provider Business Practice Location Address
First Line	:	325 MOUTON ST
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70124-2319
Country	:	US
Telephone Number	:	480-444-8793
Fax Number	:	833-542-4343

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

Provider Enumeration Date	:	08/31/2022
Last Update Date	:	03/11/2026

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