Provider Demographics
NPI:1740801786
Name:SERPAS, GABRIELE R (DNP APRN AG-CNS)
Entity Type:Individual
Prefix:DR
First Name:GABRIELE
Middle Name:R
Last Name:SERPAS
Suffix:
Gender:F
Credentials:DNP APRN AG-CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2494
Mailing Address - Street 2:
Mailing Address - City:CHALMETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70044-2494
Mailing Address - Country:US
Mailing Address - Phone:504-458-0071
Mailing Address - Fax:
Practice Address - Street 1:15243 LA HIGHWAY 10
Practice Address - Street 2:
Practice Address - City:SAINT FRANCISVILLE
Practice Address - State:LA
Practice Address - Zip Code:70775-4752
Practice Address - Country:US
Practice Address - Phone:504-458-0071
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-30
Last Update Date:2020-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA209071364SG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SG0600XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistGerontology