Provider Demographics
NPI:1063624096
Name:GEHRING, VANESSA NGUYEN (NP)
Entity type:Individual
Prefix:MRS
First Name:VANESSA
Middle Name:NGUYEN
Last Name:GEHRING
Suffix:
Gender:F
Credentials:NP
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Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:4626 ALCEE FORTIER BLVD
Mailing Address - Street 2:SUITE D
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70129-2130
Mailing Address - Country:US
Mailing Address - Phone:504-255-8665
Mailing Address - Fax:504-254-6446
Practice Address - Street 1:4626 ALCEE FORTIER BLVD
Practice Address - Street 2:SUITE D
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70129-2130
Practice Address - Country:US
Practice Address - Phone:504-255-8665
Practice Address - Fax:524-254-6446
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2013-10-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLANT9261578363LA2200X
LAAP05150363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA2133322Medicaid
FL308854500Medicaid
LA3B626Medicare PIN
AI423ZMedicare PIN