Organization
COMMUNITY HEALTHCARE CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AIMEE D, GUIDRY ANP-C (OWNER)
(337) 288-1508
Entity
Organization
Contact information
Practice address
1421 HENDERSON HIGHWAY, HENDERSON, LA 70517
(337) 434-6146
(337) 464-6149
Mailing address
PO BOX 597, HENDERSON, LA 70517-0597
(337) 434-6146
(337) 434-6149
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP04925
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1820466
—
LA
Enumeration date
03/17/2015
Last updated
03/17/2015
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