MEDICARE: MR. FRALAN TODD GATTE APRN

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	363LF0000X	Family Nurse Practitioner	AP089160	LA
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	AP04694	LA

General Provider Information

NPI Number	:	1912990516
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. FRALAN TODD GATTE APRN

Provider Business Mailing Address
First Line	:	P.O. BOX 22
Second Line	:
City	:	EVANGELINE
State	:	LA
Zip	:	70537
Country	:	US
Telephone Number	:	337-824-0201
Fax Number	:	337-475-2814

Provider Business Practice Location Address
First Line	:	3505 5TH AVE
Second Line	:	SUITE A-1
City	:	LAKE CHARLES
State	:	LA
Zip	:	70607-2156
Country	:	US
Telephone Number	:	337-475-1028
Fax Number	:	337-475-2814

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

Provider Enumeration Date	:	08/30/2005
Last Update Date	:	10/31/2023

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