Healthcare Provider Details

I. General information

NPI: 1346155322
Provider Name (Legal Business Name): NEST & NOURISH CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2026
Last Update Date: 08/15/2026
Certification Date: 08/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 BLAINE LN
LAFAYETTE LA
70507-5901
US

IV. Provider business mailing address

115 BLAINE LN
LAFAYETTE LA
70507-5901
US

V. Phone/Fax

Practice location:
  • Phone: 954-541-6812
  • Fax:
Mailing address:
  • Phone: 954-541-6812
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MADISON GUIDRY
Title or Position: FOUNDER/OWNER
Credential: RN
Phone: 954-541-6812