Gloria Norcio Fernandez

Individual provider Active NPI Diagnostic Neuroimaging (Radiology) Physician · Alexandria, LA

NPI 1194949677 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1194949677
Entity type
Individual (NPI type 1)
Primary specialty
Diagnostic Neuroimaging (Radiology) Physician 2085D0003X
License
05060R (LA)
Practice address
303 Versailles Blvd
Alexandria, LA 71303-2475
Phone
(318) 449-1919
NPI assigned
Apr 13, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
05060RLAMDDiagnostic Neuroimaging (Radiology) Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Neuroimaging (Radiology) Physician 2085D0003X 05060R LA Yes

Addresses

Primary practice location

303 Versailles Blvd
Alexandria, LA 71303-2475

Mailing address

303 Versailles Blvd
Alexandria, LA 71303-2475
Phone (318) 449-1919

Other providers in Alexandria, LA

All providers in Alexandria, LA · Diagnostic Neuroimaging (Radiology) Physician in Louisiana

Sources for this page

Verify at the official NPI Registry.