Individual
THEA DE GUZMAN INTAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
36 NEWARK AVE STE 300, BELLEVILLE, NJ 07109-4122
(973) 873-0195
Mailing address
36 NEWARK AVE STE 300, BELLEVILLE, NJ 07109-4122
(973) 873-0195
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ14933100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0960691
—
NJ
Enumeration date
10/09/2023
Last updated
12/26/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us