Individual
MRS. SHIRLEY DIANNE GUILLORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
475 STATE HIGHWAY 83, DEFUNIAK SPRINGS, FL 32433
(850) 892-8015
(850) 892-8457
Mailing address
PO BOX 968, DEFUNIAK SPRINGS, FL 32435-0968
(850) 951-2036
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
Primary
ARNP1182132
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
U6063Z
PROVIDER INS
FL
Enumeration date
03/20/2006
Last updated
01/23/2013
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