Healthcare Provider Details

I. General information

NPI: 1376655910
Provider Name (Legal Business Name): CATHLEEN GOINES BAUDY NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 PERDIDO ST
NEW ORLEANS LA
70112-1262
US

IV. Provider business mailing address

2726 GEHRING DR APARTMENT E
GRETNA LA
70053-6775
US

V. Phone/Fax

Practice location:
  • Phone: 504-568-0811
  • Fax:
Mailing address:
  • Phone: 504-352-5881
  • Fax: 504-362-1292

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberRN078224 AP04681
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: