Individual
DIANA SYRENE GUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
225 S UNION BLVD, SECOND FLOOR, COLORADO SPRINGS, CO 80910-3184
(719) 632-5700
(719) 344-7817
Mailing address
3205 N ACADEMY BLVD, SUITE 130, COLORADO SPRINGS, CO 80917-5101
(719) 632-5700
(719) 344-7837
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
10303
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
74075764
—
CO
01
—
COA101231
MEDICARE NUMBER
CO
Enumeration date
05/04/2010
Last updated
02/15/2024
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