Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LP0200X | Nurse Practitioner - Pediatrics | 382122 | NY |
Y | 363LP0200X | Nurse Practitioner - Pediatrics | AP123002 | TX |
NPI | 1003076803 |
---|---|
Provider Name | Stephanie Deanne Guignard |
First Address | Mckinney, TX 75071-6386 |
Second Address | Mckinney, TX 75071-6386 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/06/2008 |
Last Update Date | 23/06/2015 |