Individual
LISA GUILLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP-BC
Contact information
Practice address
13000 BRUCE B DOWNS BLVD, TAMPA, FL 33612-4745
(813) 972-2000
Mailing address
13820 ORANGE SUNSET DR, TAMPA, FL 33618-3336
(917) 864-9692
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP9249102
FL
Other
Enumeration date
05/18/2015
Last updated
05/18/2015
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