Guillory, Shirley Dianne
Guillory, Shirley Dianne is an individual health care provider with primary practice located at 475 State Highway 83 , Defuniak Springs FL 32433. She recently has only one registered license in Nursing Service Providers / Women's Health Care, Ambulatory, which is considered as her primary health care specialty. Guillory, Shirley Dianne can be contacted via phone (850) 892-8015.Contact Information
Primary practice address
475 State Highway 83
Defuniak Springs FL 32433
Phone: (850) 892-8015
Fax: (850) 892-8457
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Women's Health Care, Ambulatory | 163WW0101X | ARNP1182132 | Florida |
Profile Details
NPI number | 1992764005 |
---|---|
LBN Legal business name | Guillory, Shirley Dianne |
Credentials | ARNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 20th, 2006 |
Last updated | Jan 23rd, 2013 - about 11 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1992764005 | NPPES |
Florida | Other | U6063Z | PROVIDER INS |
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