Individual
CHAD PAUL GAUTHIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
151 DERICK ST, COTTONPORT, LA 71327-3856
(318) 290-4965
Mailing address
151 DERICK ST, COTTONPORT, LA 71327-3856
(318) 290-4965
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN105453
LA
363LF0000X
Family Nurse Practitioner
Primary
AP08663
LA
Other
Enumeration date
02/24/2016
Last updated
02/24/2016
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