Individual
DENNIS JAMES GUIDRY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
2730 AMBASSADOR CAFFERY PKWY, LAFAYETTE, LA 70506-5904
(337) 988-1585
(337) 981-9624
Mailing address
PO BOX 4176, HOUMA, LA 70361-4176
(985) 876-0300
(985) 872-0317
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN081497 - AP04680
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1622435
—
LA
01
—
P00226977
RR MEDICARE
LA
Enumeration date
07/08/2005
Last updated
10/20/2015
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