Individual
MS. CLAUDIA ILLEANA GUILLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1517 TEXAS DR, WEATHERFORD, TX 76086-6327
(817) 458-3300
Mailing address
1130 PECAN DR, WEATHERFORD, TX 76086-5774
(817) 458-3300
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AP131043
TX
364SF0001X
Family Health Clinical Nurse Specialist
Primary
AP131043
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
374368401
—
TX
01
—
586743ZJFY
MCR ID
—
01
—
AP131043
APRN LICENSE NUMBER
TX
Enumeration date
10/03/2016
Last updated
10/10/2022
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