Provider Demographics
NPI:1912990516
Name:GATTE, FRALAN TODD (APRN)
Entity Type:Individual
Prefix:MR
First Name:FRALAN
Middle Name:TODD
Last Name:GATTE
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 22
Mailing Address - Street 2:
Mailing Address - City:EVANGELINE
Mailing Address - State:LA
Mailing Address - Zip Code:70537
Mailing Address - Country:US
Mailing Address - Phone:337-824-0201
Mailing Address - Fax:337-475-2814
Practice Address - Street 1:3505 5TH AVE
Practice Address - Street 2:SUITE A-1
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70607-2156
Practice Address - Country:US
Practice Address - Phone:337-475-1028
Practice Address - Fax:337-475-2814
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-30
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP089160363LF0000X
LAAP04694363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily