Individual
THERESA LYNN GUEDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
7145 PERKINS ROAD, BATON ROUGE, LA 70808-4322
(225) 765-3111
(225) 765-3114
Mailing address
13523 BARRETT PARKWAY DRIVE, SUITE 104, BALLWIN, MO 63021-3802
(636) 938-6868
(636) 938-1486
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
RN-104056-AP05841
LA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN104056
LA
Other
Enumeration date
08/19/2009
Last updated
08/03/2010
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