Ann L. Guzman
Nurse Practitioner - Pediatrics
417 S 6th St
Boise
, Idaho 83702-7632
Ann L. Guzman
Nurse Practitioner - Pediatrics
417 S 6th St
Boise
, Idaho 83702-7632
(208) 381-2222
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About
Features
Specialties
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Ann L. Guzman
- 190 E Bannock St
- Boise, ID
- Zip : 83712-6241
- Phone : (208) 381-2222
Second Address
- Ann L. Guzman
- 417 S 6th St
- Boise, ID
- Zip : 83702-7632
- Fax : (208) 577-4469
- Phone : (208) 577-4460
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | NP230A | ID |
National Provider Identifier
| NPI | 1033305719 |
|---|---|
| Provider Name | Ann L. Guzman |
| First Address | Boise, ID 83712-6241 |
| Second Address | Boise, ID 83702-7632 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/09/2007 |
| Last Update Date | 06/10/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| NP230A | STATE LICENSE # (01) | ID |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.