| Doctor Name: | MRS. JANICE M. GAUTHIER |
| NPI Number: | 1154474625 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | RN048001 |
| Business Practice Address: | 694 Government St Marksville, LA - 713512945 |
| Business Phone Number: | 3182539638 |
| Business Fax Number: | 3182536354 |
| Mailing Address: | 694 Government St, MARKSVILLE |
| State: | LA |
| Postal Code: | 713512945 |
| Phone Number: | 3182539638 |
| Fax Number: | 3182536354 |
| NPI Enumeration Date: | 01/19/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0808X |
| License Number: | RN048001 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |