| Doctor Name: | MS. PAULA WEAVER GATES |
| NPI Number: | 1013264878 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN |
| License Number: | AP07052 |
| Business Practice Address: | 188 Burt Blvd Benton, LA - 710064900 |
| Business Phone Number: | 3189655017 |
| Business Fax Number: | 3189655019 |
| Mailing Address: | 121 Gates Dr, BENTON |
| State: | LA |
| Postal Code: | 710064119 |
| Phone Number: | 3185188329 |
| Fax Number: | |
| NPI Enumeration Date: | 08/11/2012 |
| NPI Last Update Date: | 12/19/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | AP07052 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |