Provider Demographics
NPI:1144992637
Name:GATTE, KIMBERLY BERTRAND (FNP-C)
Entity type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:BERTRAND
Last Name:GATTE
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9339 MCCAIN RD
Mailing Address - Street 2:
Mailing Address - City:IOTA
Mailing Address - State:LA
Mailing Address - Zip Code:70543-4214
Mailing Address - Country:US
Mailing Address - Phone:337-581-7009
Mailing Address - Fax:
Practice Address - Street 1:100 W LOUISIANA AVE
Practice Address - Street 2:
Practice Address - City:RAYNE
Practice Address - State:LA
Practice Address - Zip Code:70578-5912
Practice Address - Country:US
Practice Address - Phone:888-424-6228
Practice Address - Fax:888-612-0595
Is Sole Proprietor?:No
Enumeration Date:2021-10-02
Last Update Date:2023-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA223883363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily