Guillen, Fernando Javier

Guillen, Fernando Javier is an individual health care provider with primary practice located at 826 Anthony Dr. , Anthony NM 88021. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Guillen, Fernando Javier can be contacted via phone (575) 201-5135.

Contact Information

Primary practice address
826 Anthony Dr. Anthony NM 88021
Phone: (575) 201-5135
Fax: (575) 449-4052
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 75069 New Mexico
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 53565 New Mexico

Profile Details

NPI number 1861974024
LBN Legal business name Guillen, Fernando Javier
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2018
Last updated Jan 17th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861974024 NPPES
New Mexico MEDICAID 55025340

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