Individual
ANDREA GUTHORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1205 TROY SCHENECTADY RD STE 101, LATHAM, NY 12110-1074
(518) 348-3176
Mailing address
7755 CENTER AVE, STE 630, HUNTINGTON BEACH, CA 92647-9152
(657) 400-5180
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F344809-01
NY
Other
Enumeration date
11/20/2019
Last updated
11/25/2019
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