MRS. MICHELE GAUDETTE


Address: 4024 Penny Royal Dr, Fort Worth, TX 76244-6636
Phone: 8172175027

MRS. MICHELE GAUDETTE (NPI# 1285264416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285264416
Entity Type Individual
Full Name MRS. MICHELE GAUDETTE
Credential RN,IBCLC
Practice Address 4024 Penny Royal Dr
Fort Worth
TX 76244-6636
Practice Telephone 8172175027
Mailing Telephone 8172175027
Enumeration Date 2020-01-15
Last Update Date 2020-01-15
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WL0100X Registered Nurse
Specialization: Lactation Consultant
710796 TX Nursing Service Providers

Office Location

Street Address 4024 PENNY ROYAL DR
City FORT WORTH
State TX
Zip Code 76244-6636

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Taxonomy Information

Taxonomy Code 163WL0100X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Lactation Consultant

Taxonomy Definition

Definition to come...

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1467887380 Laura M Kiehl Registered Nurse 5226 Wyndrook St, Fort Worth, TX 76244-5043 2013-09-10
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1891080404 Aurora Bustillos Registered Nurse 1201 S Main St, Fort Worth, TX 76104-4804 2011-06-10

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NPI Name Taxonomy Address Enumeration
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Competitor

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City FORT WORTH
Zip Code 76244

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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