# MRS. IMELDA DE VERA GUIMARY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1073687760
- **Gender:** F
- **Credential:** NP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | NJ000899 | NJ | — |
| 363L00000X | Nurse Practitioner | 26NJ0008990 | NJ | Yes |

## Other

- **Enumeration date:** 11/17/2006
- **Last updated:** 11/10/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 221775306 | — | NJ |
| 05 | — | 6301703 | — | NJ |
