Individual provider · Type 1 NPI

Ty Anthony Gautreau, NP

Family Nurse Practitioner · Baton Rouge, LA

NPI number 1548438286 Active

Practice location

12525 Perkins Rd
Baton Rouge, LA 70810-1907

Call (225) 819-8857 Map

Fax (225) 767-6822

Mailing address

2762 Continental Dr, Ste 201
Baton Rouge, LA 70808-3240

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAP04859 (LA)

Family Nurse Practitioner: Definition to come...

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About NPI 1548438286

Ty Anthony Gautreau, NP's National Provider Identifier is 1548438286, issued on Feb 15, 2008. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Baton Rouge, LA. The record was last updated on Jun 30, 2016.