Ms Michelle Gautreaux, RDN/LDN is a
Dietitian, Registered based in Tyndall Afb, Florida. Ms Michelle Gautreaux is licensed to practice in Florida (license number ND3408) and her current practice location is
325 Mdg, 340 Magnolia Circle, Tyndall Afb, Florida. She can be reached at her office (for appointments etc.) via phone at
(850) 283-3826.
NPI number for Ms Michelle Gautreaux is 1790727865 and her current mailing address is 325 Mdg, 340 Magnolia Circle, Tyndall Afb, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1790727865.
Healthcare Provider's Profile
Full Name | Ms Michelle Gautreaux |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 325 Mdg, Tyndall Afb, Florida |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1790727865
- Provider Enumeration Date: 06/12/2006
- Last Update Date: 06/18/2019
Medical Identifiers
Medical identifiers for Ms Michelle Gautreaux such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790727865 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | ND3408 (Florida) | Primary |
133N00000X | Nutritionist | (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Michelle Gautreaux is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Michelle Gautreaux, RDN/LDN 325 Mdg, 340 Magnolia Circle, Tyndall Afb, FL 32403 Ph: (850) 283-3826 | Ms Michelle Gautreaux, RDN/LDN 325 Mdg, 340 Magnolia Circle, Tyndall Afb, FL 32403 Ph: (850) 283-3826 |
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