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1174089635 NPI number — ELISE MARIE GUIDRY NP

NPI Number: 1174089635
Health Care Provider/Practitioner: ELISE MARIE GUIDRY NP

Information about “1174089635” NPI (ELISE MARIE GUIDRY NP) exists in 1174089635 in HTML format HTML  |  1174089635 in plain Text format TXT  |  1174089635 in PDF (Portable Document Format) PDF  |  1174089635 in an XML format XML  formats.

NPI Number : 1174089635 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1174089635",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GUIDRY",
    "FirstName": "ELISE",
    "MiddleName": "MARIE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "NP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "GUIDRY",
    "OtherFirstName": "ELISE",
    "OtherMiddleName": "MARIE",
    "OtherNamePrefix": "MRS.",
    "OtherNameSuffix": null,
    "OtherCredential": "ELISE MARIE ARGUETA",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "20193 HIDDEN PARK LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HAMMOND",
    "MailingAddressStateName": "LA",
    "MailingAddressPostalCode": "70403-6085",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "985-789-6513",
    "MailingAddressFaxNumber": "985-202-2656",
    "FirstLinePracticeLocationAddress": "195 HIGHLAND PARK PLZ STE 100",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "COVINGTON",
    "PracticeLocationAddressStateName": "LA",
    "PracticeLocationAddressPostalCode": "70433-7128",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "985-465-5555",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/20/2019",
    "LastUpdateDate": "09/05/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "202109",
          "LicenseNumberStateCode": "LA",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "363LP0808X",
          "TaxonomyName": "Psychiatric/Mental Health Nurse Practitioner",
          "LicenseNumber": "202109",
          "LicenseNumberStateCode": "LA",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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