person
Mary Beth Gaudin, CANP
Primary Care Nurse Practitioner in Hammond, Louisiana
NPI 1659300143

Mary Beth Gaudin is a Primary Care Nurse Practitioner based in Ponchatoula, LA and is specialized in Primary Care. Mary Beth Gaudin practices in Hammond, LA and has the professional credentials of CANP. The NPI Number for Mary Beth Gaudin is 1659300143 and holds a License No. AP03655 (Louisiana).

The current practice location address for Mary Beth Gaudin is 42388 Pelican Professional Park, Hammond, LA and can be reached out via phone at 985-542-6251. You can also correspond with Mary Beth Gaudin through the mailing address at 167 SOUTH GATE, PONCHATOULA, LA - 70454 (mailing address contact number: 985-542-6251).

Location: 42388 Pelican Professional Park, Hammond, LA, 70454
person
Provider Profile Details
NPI Number
1659300143
Provider Name
Mary Beth Gaudin
Credential
CANP
Provider Entity Type
Individual
Gender
Female
Address
42388 Pelican Professional Park, Hammond, LA, 70454
Phone Number
985-542-6251
Fax Number
Provider Enumeration Date
06/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
AP03655 01 LA STATE LICENSE #
30051 01 LA LA CONTROL #
1495948 05 LA
institution
Provider Business Practice Location Address Details
Address
42388 Pelican Professional Park
City
State
Zip
70403
Phone Number
985-542-6251
Fax Number
person
Provider Business Mailing Address Details
Address
42388 Pelican Professional Park
City
State
Zip
70403
Phone Number
985-542-6251
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
AP03655 (Louisiana)
Definition
Definition to come...
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