Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207U00000X | Nuclear Medicine Specialist | 201148 | LA |
N | 207U00000X | Nuclear Medicine Specialist | M3555 | TX |
NPI | 1821003492 |
---|---|
Provider Name | Dr. Nina M Gazmen |
First Address | Baton Rouge, LA 70808-4300 |
Second Address | Baton Rouge, LA 70808-4375 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/07/2006 |
Last Update Date | 21/04/2011 |