MR. VICTOR LAO DE GUZMAN AGACNP-BC ACNPC-AG NPI 1497234884

NPI Information

NPI: 1497234884
Provider Name: MR. VICTOR LAO DE GUZMAN, AGACNP-BC, ACNPC-AG
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

Address:
1717 S J ST
TACOMA, WA
ZIP 98405
Phone: (253) 426-6341
Get Directions

MR. Victor Lao De Guzman, AGACNP-BC, ACNPC-AG is a gerontology nurse practitioner in Tacoma, WA. MR. Victor Lao De Guzman, AGACNP-BC, ACNPC-AG NPI is 1497234884. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1717 S J ST
TACOMA, WA
ZIP 98405-933
Phone: (253) 426-6341
Fax: (253) 761-1040

The NPI 1497234884 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/7/2018 and was last updated on 12/2/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		AP60951857	WASHINGTON	No
2	363LA2100X	Nurse Practitioner	Acute Care	AP138293	TEXAS	No
3	363LG0600X	Nurse Practitioner	Gerontology	AP60951857	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2138777	MEDICAID	WASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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