Individual
CASEY RYAN GUIDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
600 N LEWIS ST, NEW IBERIA, LA 70563-2043
(337) 374-4144
Mailing address
PO BOX 20452, YPS-CREDENTIALING, COLUMBUS, OH 43220-0452
(614) 442-2406
(614) 442-2410
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN101116
LA
Other
Enumeration date
03/27/2009
Last updated
12/15/2014
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