Individual
MR. BERNARD ANTHONY GAUDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PNP
Contact information
Practice address
604 N ACADIA RD STE 200, THIBODAUX, LA 70301-4897
(985) 448-3700
Mailing address
604 N ACADIA RD STE 200, THIBODAUX, LA 70301-4897
(985) 448-3700
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
39280 1810
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1993735
—
LA
Enumeration date
08/05/2006
Last updated
02/24/2016
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