Individual
ANNE GUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
282B HOSPITAL RD, NEW ROADS, LA 70760-2619
(225) 638-7320
(225) 638-3022
Mailing address
11675 N RIVER RD, PORT ALLEN, LA 70767-4933
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN053140
LA
Other
Enumeration date
06/15/2012
Last updated
06/15/2012
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