Ty Anthony Gautreau in Baton Rouge - Family
Ty Anthony Gautreau - NPI 1548438286
Ty Anthony Gautreau is a Family in Baton Rouge, Louisiana. Ty Anthony Gautreau practices all healthcare services and medical treatments related to Family. The NPI Number for Ty Anthony Gautreau is 1548438286. The last update date is 2016-06-30.
Ty Anthony Gautreau's current location address is 12525 Perkins Rd, Baton Rouge, Louisiana. You can contact this provider via phone number 2258198857 and fax number 2257676822. The mailing address for Ty Anthony Gautreau is 12525 Perkins Rd, Baton Rouge, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ty Anthony Gautreau |
|---|---|
| Address | 12525 Perkins Rd, Baton Rouge, Louisiana |
| Phone Number | 2258198857 |
| Fax Number | 2257676822 |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1548438286 |
|---|---|
| Provider Enumeration Date | 2008-02-15 |
| Last Updated Date | 2016-06-30 |
Provider Mailing Address Detail
| Address | 12525 Perkins Rd |
|---|---|
| City | Baton Rouge |
| State | Louisiana (LA) |
| Post Code | 708101907 |
| Phone Number | 2258198857 |
| Fax Number | 2257676822 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | AP04859 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1034789 | LA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Ty Anthony Gautreau by the Centers for Medicare & Medicaid Services?
The Ty Anthony Gautreau has been assigned the NPI (National Provider Identifier) 1548438286 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Ty Anthony Gautreau?
The Ty Anthony Gautreau is physically situated at 12525 Perkins Rd, in the city of Baton Rouge, state of LA, with the postal code 708101907.
What is the area of specialization for Ty Anthony Gautreau, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Ty Anthony Gautreau is Family, and the corresponding taxonomy code that categorizes this area of expertise is 363Lf0000X.
On what date did the Ty Anthony Gautreau receive its 1548438286 assignment from the Centers for Medicare & Medicaid Services?
The Ty Anthony Gautreau was assigned its 1548438286 by the Centers for Medicare & Medicaid Services on 2008-02-15.
When was the Ty Anthony Gautreau's information last updated?
The Ty Anthony Gautreau's information was last updated on 2016-06-30.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC