Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086S0102X | Surgical Critical Care | 20A13824 | CA |
Y | 2086S0102X | Surgical Critical Care | 305233 | LA |
NPI | 1356585533 |
---|---|
Provider Name | Chrissy Guidry |
First Address | New Orleans, LA 70112-2632 |
Second Address | New Orleans, LA 70112-2632 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2009 |
Last Update Date | 28/08/2017 |