Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | 203908 | LA |
NPI | 1013470004 |
---|---|
Provider Name | Mrs. Fallon Savoy Guidry |
First Address | New Orleans, LA 70121-2429 |
Second Address | Lafayette, LA 70503-2460 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/04/2019 |
Last Update Date | 20/10/2021 |