Mary Beth Gaudin in Ponchatoula - Primary Care
Mary Beth Gaudin - NPI 1659300143
Mary Beth Gaudin is a Primary Care in Ponchatoula, Louisiana. Mary Beth Gaudin practices all healthcare services and medical treatments related to Primary Care. The NPI Number for Mary Beth Gaudin is 1659300143. The last update date is 2023-03-07.
Mary Beth Gaudin's current location address is 167 South Gate, Ponchatoula, Louisiana. You can contact this provider via phone number 9855426251. The mailing address for Mary Beth Gaudin is 167 South Gate, Ponchatoula, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Beth Gaudin |
|---|---|
| Address | 167 South Gate, Ponchatoula, Louisiana |
| Phone Number | 9855426251 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | CANP |
NPI Number Detail
| NPI Number | 1659300143 |
|---|---|
| Provider Enumeration Date | 2006-06-30 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 167 South Gate |
|---|---|
| City | Ponchatoula |
| State | Louisiana (LA) |
| Post Code | 70454 |
| Phone Number | 9855426251 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Primary Care |
|---|---|
| Taxonomy | 363Lp2300X |
| Licence No | AP03655 |
|
Definition: An advanced practice registered nurse expert in comprehensive, first contact primary healthcare for patients of all ages. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| AP03655 | LA | STATE LICENSE # | |
| 30051 | LA | LA CONTROL # | |
| 1495948 | LA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Mary Beth Gaudin by the Centers for Medicare & Medicaid Services?
The Mary Beth Gaudin has been issued the NPI (National Provider Identifier) 1659300143, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Mary Beth Gaudin is geographically located?
The Mary Beth Gaudin is physically situated at the following location: 167 South Gate, Ponchatoula, LA, 70454.
What is the Mary Beth Gaudin's area of specialization and corresponding taxonomy classification?
The Mary Beth Gaudin's specialty field is Primary Care, and it falls under the taxonomy code 363Lp2300X, which categorizes healthcare providers based on their specialties.
When was the Mary Beth Gaudin's 1659300143 issued?
The Mary Beth Gaudin's 1659300143 was issued on 2006-06-30.
When was the information regarding Mary Beth Gaudin most recently updated?
The details pertaining to the Mary Beth Gaudin, including its address, specialty, and other relevant information, were last refreshed on 2023-03-07.