Individual
HEATHER BURNS GUILLORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MN, FNP-C
Contact information
Practice address
8595 PICARDY AVE, SUITE 100, BATON ROUGE, LA 70809-3670
(225) 763-4900
(225) 763-4938
Mailing address
8490 PICARDY AVE, BLDG 200, BATON ROUGE, LA 70809-3731
(225) 237-1754
(225) 237-1722
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN102374-AP06197
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2127985
—
LA
01
—
3C059B116
MEDICARE PTAN
LA
Enumeration date
08/10/2010
Last updated
06/23/2014
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