Individual
HALEY NICOLE GUGGENHEIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4919 DIERKER RD, COLUMBUS, OH 43220-2946
(614) 457-4952
Mailing address
3651 BRINELL ST E APT 131, COLUMBUS, OH 43214-3790
(216) 513-5725
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
505.008197RX
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019123
—
OH
Enumeration date
06/08/2023
Last updated
03/04/2025
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