Provider Demographics
NPI:1518545524
Name:GAUTREAU, LAURA N (NP)
Entity Type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:N
Last Name:GAUTREAU
Suffix:
Gender:F
Credentials:NP
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:11700 MERCY BLVD STE 6
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31419-1753
Mailing Address - Country:US
Mailing Address - Phone:912-924-3434
Mailing Address - Fax:912-927-5016
Practice Address - Street 1:11700 MERCY BLVD STE 6
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31419-1753
Practice Address - Country:US
Practice Address - Phone:912-927-3434
Practice Address - Fax:912-927-5016
Is Sole Proprietor?:No
Enumeration Date:2021-03-31
Last Update Date:2023-06-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GARN2971266363LA2200X
GARN297126363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health