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Individual
RENE GUILD
Active
Individual
RENE GUILD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-BC, CDE
Taxonomy
Speciality
Code
Description
License number
State
363LC1500X
Community Health Nurse Practitioner
Primary
RN078829NP
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000843785H
—
GA
01
—
202I503048
MEDICARE PTAN
GA
01
—
GRP 1855
MEDICARE GROUP PTAN
—
01
—
RN078829NP
NURSE PRACTITIONER LIC.
GA
Enumeration date
09/27/2005
Last updated
03/07/2023
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