Gaudin, Bernard Anthony

Gaudin, Bernard Anthony is an individual health care provider with primary practice located at 604 N Acadia Rd Ste 200 , Thibodaux LA 70301-4897. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as his primary health care specialty. Gaudin, Bernard Anthony can be contacted via phone (985) 448-3700.

Contact Information

Primary practice address
604 N Acadia Rd Ste 200 Thibodaux LA 70301-4897
Phone: (985) 448-3700
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 39280 1810 Louisiana

Profile Details

NPI number 1891704185
LBN Legal business name Gaudin, Bernard Anthony
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2006
Last updated Feb 24th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891704185 NPPES
Louisiana MEDICAID 1993735

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