STEPHANIE DALE GUAJARDO CNP NPI 1649425380

NPI Information

Stephanie Dale Guajardo, CNP is a women's health nurse practitioner in Troy, OH with 16 years of experience. Stephanie Dale Guajardo, CNP NPI is 1649425380. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

600 W MAIN ST STE 330
TROY, OH
ZIP 45373-384
Phone: (937) 429-7350
Fax: (937) 431-2623

The NPI 1649425380 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 11/21/2008 and was last updated on 3/8/2021.

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:

Other Identifiers

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

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