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Individual

STACIA NICHOLE GUILLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
825 DILIGENCE DR STE 226, NEWPORT NEWS, VA 23606-4293
(855) 940-4867
Mailing address
4020 THORNGATE DR, WILLIAMSBURG, VA 23188-1426
(714) 642-6149

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001293135
VA
163W00000X
Registered Nurse
788745
CA
363L00000X
Nurse Practitioner
Primary
0024178910
VA
363L00000X
Nurse Practitioner
C-APN.0105399-C-NP
CO
363LF0000X
Family Nurse Practitioner
23757
CA
363LP2300X
Primary Care Nurse Practitioner
Primary
0024178910
VA

Other

Enumeration date
11/13/2013
Last updated
01/16/2026
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