Individual
GENESIS GUZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, CRNA
Contact information
Practice address
4420 LAKE BOONE TRL, RALEIGH, NC 27607-7505
(919) 784-3100
Mailing address
5440 JESSICA BLVD UNIT 102, RALEIGH, NC 27607-4278
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
295222
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
295222
NC
Other
Enumeration date
08/16/2021
Last updated
08/12/2022
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