Guillot, Mary Lou

Guillot, Mary Lou is an individual health care provider with primary practice located at 11990 Jackson St , Clinton LA 70722-3210. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Guillot, Mary Lou can be contacted via phone (225) 683-5292.

Contact Information

Primary practice address
11990 Jackson St Clinton LA 70722-3210
Phone: (225) 683-5292
Fax: (225) 683-3411
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X CRNA00994 New Mexico
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 1395994 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP01331 Louisiana

Profile Details

NPI number 1326023201
LBN Legal business name Guillot, Mary Lou
Credentials CRNA,FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2005
Last updated Mar 27th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326023201 NPPES
Mississippi MEDICAID 08309838
Mississippi Other 1395994
Mississippi Other 08309838
Mississippi Other 1445894
Mississippi MEDICAID 1189405

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