Individual
KEYANNA TANISHA GUIDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
112 N BENBOW RD, GREENSBORO, NC 27411-0001
(336) 334-7880
Mailing address
402 PEACH ORCHARD DR, GREENSBORO, NC 27455-1500
(336) 558-7873
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5016805
NC
363LF0000X
Family Nurse Practitioner
F07221243
NC
Other
Enumeration date
08/23/2022
Last updated
09/09/2022
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