Individual
ALICIA RENEE GAUTREAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7777 HENNESSY BLVD STE 701, BATON ROUGE, LA 70808-4370
(225) 765-5864
(225) 765-2013
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 765-5727
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
130367
LA
Other
Enumeration date
06/07/2017
Last updated
01/07/2021
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