Individual
SHELLY MARIE GAUTREAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5000 HENNESSY BLVD, BATON ROUGE, LA 70808-4375
(225) 765-6565
Mailing address
9020 WORTH AVE, BATON ROUGE, LA 70810-2722
(985) 791-8398
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN113298
LA
Other
Enumeration date
10/27/2010
Last updated
10/27/2010
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