Individual
EDITHA GUEVARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1100 ALLIED DR, PLANO, TX 75093-5348
(877) 814-4488
Mailing address
PO BOX 844596, DALLAS, TX 75284-4596
(440) 879-0081
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
AP132349
TX
363LG0600X
Gerontology Nurse Practitioner
Primary
AP132349
TX
Other
Enumeration date
04/19/2017
Last updated
06/13/2017
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