Individual
ALEXANDRA THERIOT GUEDRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8200 CONSTANTIN BLVD STE 200, BATON ROUGE, LA 70809-3481
(225) 709-8633
(225) 709-8634
Mailing address
8200 CONSTANTIN BLVD STE 200, BATON ROUGE, LA 70809-3481
(225) 709-8633
(225) 709-8634
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
303837
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2430319
—
LA
Enumeration date
09/19/2016
Last updated
11/19/2025
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