Provider Demographics
NPI:1235492893
Name:GILDER, CORINNE RABALAIS (RN)
Entity Type:Individual
Prefix:MRS
First Name:CORINNE
Middle Name:RABALAIS
Last Name:GILDER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1029 CAPITOL AVE
Mailing Address - Street 2:
Mailing Address - City:CROWLEY
Mailing Address - State:LA
Mailing Address - Zip Code:70526
Mailing Address - Country:US
Mailing Address - Phone:337-788-7507
Mailing Address - Fax:337-788-4951
Practice Address - Street 1:217 PARKWAY CIR
Practice Address - Street 2:
Practice Address - City:CROWLEY
Practice Address - State:LA
Practice Address - Zip Code:70526-8330
Practice Address - Country:US
Practice Address - Phone:337-788-7507
Practice Address - Fax:337-788-4951
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-19
Last Update Date:2012-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN036741163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health