Provider Demographics
NPI:1205142338
Name:GUIDRY, RHONDA GRIFFIN (RN)
Entity type:Individual
Prefix:
First Name:RHONDA
Middle Name:GRIFFIN
Last Name:GUIDRY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4400 AMBASSADOR CAFFERY PKWY # 395
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508-6760
Mailing Address - Country:US
Mailing Address - Phone:337-984-6920
Mailing Address - Fax:337-984-6921
Practice Address - Street 1:701 ROBLEY DR
Practice Address - Street 2:STE. 137
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70503-5200
Practice Address - Country:US
Practice Address - Phone:337-984-6920
Practice Address - Fax:337-984-6921
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-26
Last Update Date:2010-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN082555163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse