Provider Demographics
NPI:1306507447
Name:NEWTON, GABRIELLE LATARI (NP)
Entity type:Individual
Prefix:MS
First Name:GABRIELLE
Middle Name:LATARI
Last Name:NEWTON
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
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Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 724
Mailing Address - Street 2:
Mailing Address - City:KEITHVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:71047-0724
Mailing Address - Country:US
Mailing Address - Phone:318-674-0801
Mailing Address - Fax:
Practice Address - Street 1:THE PEDIATRIC CENTER
Practice Address - Street 2:315 S HIGHLAND DRIVE SUITE A
Practice Address - City:MANY
Practice Address - State:LA
Practice Address - Zip Code:71449
Practice Address - Country:US
Practice Address - Phone:318-431-5100
Practice Address - Fax:318-808-7007
Is Sole Proprietor?:No
Enumeration Date:2021-12-30
Last Update Date:2024-10-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA222243363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health