Kim C. Fugarino
Nurse Practitioner - Gerontology
42388 Pelican Professional Park
Hammond
, Louisiana 70403-2412
Kim C. Fugarino
Nurse Practitioner - Gerontology
42388 Pelican Professional Park
Hammond
, Louisiana 70403-2412
(855) 426-2519
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About
Features
Specialties
- Nurse Practitioner - Gerontology
Languages spoken
- English
Location
First Address
- Kim C. Fugarino
- 42388 Pelican Professional Park
- Hammond, LA
- Zip : 70403-2412
- Phone : (855) 426-2519
Second Address
- Kim C. Fugarino
- 42388 Pelican Professional Park
- Hammond, LA
- Zip : 70403-2412
- Phone : (985) 542-6251
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LG0600X | Nurse Practitioner - Gerontology | 218007 | LA |
National Provider Identifier
| NPI | 1033790332 |
|---|---|
| Provider Name | Kim C. Fugarino |
| First Address | Hammond, LA 70403-2412 |
| Second Address | Hammond, LA 70403-2412 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/04/2021 |
| Last Update Date | 13/01/2022 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.