Doctor Name: | CHRISTY QUATES CROVETTO |
NPI Number: | 1750563557 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | A.R.N.P. |
License Number: | RN129195-AP06081 |
Business Practice Address: | 720 N Main Street St. Martinville, LA - 70582 |
Business Phone Number: | 3373946333 |
Business Fax Number: | 3373947002 |
Mailing Address: | Po Box 1065, SAINT MARTINVILLE |
State: | LA |
Postal Code: | 705821065 |
Phone Number: | 3373946333 |
Fax Number: | 3373947002 |
NPI Enumeration Date: | 12/04/2007 |
NPI Last Update Date: | 02/01/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | RN129195-AP06081 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |