Individual
MRS. GLORY IVELISSE GUERRERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1696 SE HILLMOOR DR, PORT ST LUCIE, FL 34952-7699
(772) 692-2024
(772) 692-1555
Mailing address
2272 SE LUCAYA ST, PORT ST LUCIE, FL 34952-6820
(772) 398-4757
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP9202595
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
307100600
—
FL
Enumeration date
12/06/2005
Last updated
11/17/2023
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