Gautreau, Mary Margaret

Gautreau, Mary Margaret is an individual health care provider with primary practice located at 22601 Highway 190 E , Robert LA 70455-1731. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Gautreau, Mary Margaret can be contacted via phone (504) 236-5311.

Contact Information

Primary practice address
22601 Highway 190 E Robert LA 70455-1731
Phone: (504) 236-5311
Fax: (985) 542-2755
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X RN086761 Louisiana

Profile Details

NPI number 1073664009
LBN Legal business name Gautreau, Mary Margaret
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2007
Last updated Dec 27th, 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 1073664009 NPPES
Louisiana MEDICAID 1527386

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