IndividualActive
Kim Fugarino, AGNP-C
NPI 1033790332 · Gerontology Nurse Practitioner · Hammond, LA
Provider details
- NPI number
- 1033790332
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AGNP-C
- Sex
- Female
- Sole proprietor
- No
- License
- 218007 (LA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
42388 Pelican Professional Park
Hammond, LA 70403-2412
Phone: (985) 542-6251
Approximate (ZIP-level) locationGet directions
Mailing address
42388 Pelican Professional Park
Hammond, LA 70403-2412
Registry dates
- Enumerated
- 2021-04-19
- Last updated
- 2022-01-13
- Certified
- 2022-01-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.