Individual
TERRI LYNN GUAJARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1100 ALLIED DR, PLANO, TX 75093-5348
(469) 814-3278
Mailing address
6893 SHOREVIEW DR, GRAND PRAIRIE, TX 75054-6823
(817) 473-6266
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
667583
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
667583
TX
Other
Enumeration date
07/30/2012
Last updated
04/17/2018
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