Individual
MRS. TARA GAUDET ESTAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
409 NW CENTRAL AVE, AMITE, LA 70422-2428
(985) 748-7141
(985) 748-3181
Mailing address
5088 TANGLEWOOD RD, MCCOMB, MS 39648-8273
(985) 992-6777
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP07938
LA
Other
Enumeration date
07/07/2014
Last updated
08/18/2020
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