Gautreaux, Michelle

Gautreaux, Michelle is an individual health care provider with primary practice located at 325 Mdg 340 Magnolia Circle, Tyndall Afb FL 32403. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Dietary & Nutritional Service Providers / Nutritionist. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Gautreaux, Michelle can be contacted via phone (850) 283-3826.

Contact Information

Primary practice address
325 Mdg 340 Magnolia Circle Tyndall Afb FL 32403
Phone: (850) 283-3826
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X ND3408 Florida
Dietary & Nutritional Service Providers / Nutritionist 133N00000X

Profile Details

NPI number 1790727865
LBN Legal business name Gautreaux, Michelle
Credentials RDN/LDN
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Jun 18th, 2019 - about 6 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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