| Doctor Name: | MRS. STEPHANIE LYNN GUIDRY |
| NPI Number: | 1073823456 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP-C |
| License Number: | RN093418-AP06077 |
| Business Practice Address: | 1234 Del Este Ave Suite 201 Denham Springs, LA - 707264828 |
| Business Phone Number: | 2252435603 |
| Business Fax Number: | 2252436308 |
| Mailing Address: | 1234 Del Este Ave, Suite 201 DENHAM SPRINGS |
| State: | LA |
| Postal Code: | 707264828 |
| Phone Number: | 2252435603 |
| Fax Number: | 2252436308 |
| NPI Enumeration Date: | 10/19/2010 |
| NPI Last Update Date: | 04/03/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | RN093418-AP06077 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |