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Individual

MRS. MELISSA GUILBEAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP, PMHNP

Contact information

Practice address
215 RUE FOUNTAINE, SUITE 108, LAFAYETTE, LA 70508-5742
(337) 889-3682
(337) 534-0798
Mailing address
PO BOX 81515, LAFAYETTE, LA 70598-1515
(337) 889-3682
(337) 534-0798

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AP04767
LA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP04767
LA
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
RN100054
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1724262
LA
Enumeration date
09/16/2006
Last updated
07/14/2016
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