Individual
MS. COLENE GUZMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
10332 E FORTUNA AVE, GOLD CANYON, AZ 85118-7355
(602) 283-6589
Mailing address
10332 E FORTUNA AVE, GOLD CANYON, AZ 85118-7355
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
312411
AZ
364SA2100X
Acute Care Clinical Nurse Specialist
Primary
312411
AZ
Other
Enumeration date
08/09/2024
Last updated
08/09/2024
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