Individual
JOLE-LANEE GUIDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
2680 S VAL VISTA DR, SUITE 116, GILBERT, AZ 85295-2152
(480) 507-5678
(480) 507-5677
Mailing address
2680 S VAL VISTA DR, SUITE 116, GILBERT, AZ 85295-2152
(480) 507-5678
(480) 507-5677
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP8838
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
167649
—
AZ
Enumeration date
07/18/2016
Last updated
04/27/2018
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