Gno Health & Wellness Center | |
1615 Poydras St Ste 900 New Orleans LA 70112-1282 | |
(504) 648-6767 | |
(504) 399-5663 |
Full Name | Gno Health & Wellness Center |
---|---|
Speciality | Family Medicine |
Location | 1615 Poydras St Ste 900, New Orleans, Louisiana |
Authorized Official Name and Position | Aniece Nicole Smith (OWNER) |
Authorized Official Contact | 5042665479 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Gno Health & Wellness Center 1615 Poydras St Ste 900 New Orleans LA 70112-1282 Ph: (504) 648-6767 | Gno Health & Wellness Center 1615 Poydras St Ste 900 New Orleans LA 70112-1282 Ph: (504) 648-6767 |
NPI Number | 1629650585 |
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Provider Enumeration Date | 04/21/2021 |
Last Update Date | 06/16/2022 |
Medicare PECOS PAC ID | 4284031287 |
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Medicare Enrollment ID | O20210917000643 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629650585 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Aniece Nicole Smith |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104342682 PECOS PAC ID: 8325305121 Enrollment ID: I20171204001623 |
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