Individual provider · Type 1 NPI

Angela P. Gore, NURSE PRACTITIONER

Pediatric Nurse Practitioner · Alexandria, LA

NPI number 1205942844 Active

Practice location

501 Medical Center Dr, Suite 3A
Alexandria, LA 71301-8124

Fax (318) 484-3887

Mailing address

192 Stilley Rd
Pineville, LA 71360-5933

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X71598APO4777 (LA)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1205942844

Angela P. Gore, NURSE PRACTITIONER's National Provider Identifier is 1205942844, issued on Aug 23, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Alexandria, LA. The record was last updated on Feb 2, 2017.