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Mrs. Ellendale Withers Gabbert, C-FNP
Family Nurse Practitioner in Lake Charles, Louisiana
NPI 1134337017

Ellendale Withers Gabbert is a Family Nurse Practitioner based in Lake Charles, LA and is specialized in Family. Ellendale Withers Gabbert practices in Lake Charles, LA and has the professional credentials of C-FNP. The NPI Number for Ellendale Withers Gabbert is 1134337017 and holds a License No. 63422-3267 (Louisiana).

The current practice location address for Ellendale Withers Gabbert is 501 Dr Michael Debakey Dr, Lake Charles, LA and can be reached out via phone at 337-433-8400 and via fax at 337-312-6711.

Location: 501 Dr Michael Debakey Dr, Lake Charles, LA, 70601-5724
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Provider Profile Details
NPI Number
1134337017
Provider Name
Ellendale Withers Gabbert
Credential
C-FNP
Provider Entity Type
Individual
Gender
Female
Address
501 Dr Michael Debakey Dr, Lake Charles, LA, 70601-5724
Phone Number
337-433-8400
Fax Number
337-312-6711
Provider Enumeration Date
05/21/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1557773 05 LA
institution
Provider Business Practice Location Address Details
Address
501 Dr Michael Debakey Dr
City
State
Zip
70601-5724
Phone Number
337-433-8400
Fax Number
337-312-6711
person
Provider Business Mailing Address Details
Address
501 Dr Michael Debakey Dr
City
State
Zip
70601-5724
Phone Number
337-433-8400
Fax Number
337-312-6711
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
63422-3267 (Louisiana)
Definition
Definition to come...
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