MRS. GLORY IVELISSE GUERRERO (NPI# 1427032028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427032028 |
Entity Type | Individual |
Full Name | MRS. GLORY IVELISSE GUERRERO |
Credential | ARNP |
Practice Address |
1322 Nw Federal Hwy Stuart FL 34994-1004 |
Mailing Address |
2272 Se Lucaya St Port St Lucie FL 34952-6820 |
Practice Telephone | 7726922030 |
Mailing Telephone | 7723984757 |
Enumeration Date | 2005-12-06 |
Last Update Date | 2012-04-25 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
ARNP9202595 | FL | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 307100600 | 05 |
Street Address |
1322 NW FEDERAL HWY |
City | STUART |
State | FL |
Zip Code | 34994-1004 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679827448 | Planned Parenthood of South Florida and The Treasure Coast | Non-Pharmacy Dispensing Site | 1322 Nw Federal Hwy, Stuart, FL 34994-1004 | 2012-11-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912543711 | Prestige Medical Billing. Inc | Durable Medical Equipment & Medical Supplies | 2678 Se Willoughby Blvd, Stuart, FL 34994 | 2019-11-27 |
1780229203 | Katherine Ginn | Occupational Therapist | 809 Se Central Parkway, Stuart, FL 34994 | 2019-11-07 |
1972167294 | Melissa Callaham Lcsw | Social Worker | 900 East Ocean Blvd., Suite D-130, Office 26, Stuart, FL 34994 | 2019-04-23 |
1053881300 | Spencer Perna | Chiropractor | 632 Se Monterey Rd., Stuart, FL 34994 | 2018-11-29 |
1720563521 | National Vision Inc | Technician/Technologist | 2600 Southeast Federal Highway, Stuart, FL 34994 | 2018-09-27 |
1649767351 | Frank Alario Md & Associates | Non-Pharmacy Dispensing Site | 721 South Colorado Avenue, Stuart, FL 34994 | 2018-04-18 |
1609305499 | Wideline Thelemaque-claire | Behavior Technician | 900 E Ocean Blvd, Suite 130d, Stuart, FL 34994 | 2017-06-06 |
1316488984 | Jessica Gaffney | Social Worker | 416 Se Balboa Ave., Suite 200, Stuart, FL 34994 | 2017-03-16 |
1578012035 | Essentials Medical Group, LLC | Internal Medicine | 2694 Se Willoughby Blvd, Stuart, FL 34994 | 2016-09-26 |
1356898324 | Waters Edge Dermatology Global LLC | Surgery | 2601 S Kanner Highway, Stuart, FL 34994 | 2016-09-07 |
Find all providers in zip 34994 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659925337 | Jacqueline Gajewski Smith | Nurse Practitioner | 130 Se Crestwood Cir, Stuart, FL 34997-7438 | 2019-07-30 |
1699161562 | Deniese Williams LLC | Nurse Practitioner | 6526 S Kanner Hwy, Unit 221, Stuart, FL 34997-6396 | 2015-04-08 |
1134560352 | Alan C Eddison | Nurse Practitioner | 3044 Se Orange Tree Pl, Stuart, FL 34997-8518 | 2013-07-16 |
1104143965 | Steven John Sanderson | Nurse Practitioner | 5124 Se Graham Dr, Stuart, FL 34997-1547 | 2010-05-03 |
1427202662 | Sara Pratt | Nurse Practitioner | 1371 Se Conference Cir, Stuart, FL 34997-7639 | 2008-11-14 |
1215956107 | Carmen Luisa Escobar | Nurse Practitioner | 2440 Se Federal Hwy, Stuart, FL 34994-4500 | 2006-07-19 |
1053372045 | Elizabeth Clemow-tilley | Nurse Practitioner | 1713 Nw Federal Hwy, Stuart, FL 34994-9631 | 2006-03-29 |
1962498667 | Carol A Jarzyn | Nurse Practitioner | 417 Se Balboa Ave, Stuart, FL 34994-2327 | 2005-09-27 |
1639603830 | Francesca Panko | Nurse Practitioner | 2221 Se Ocean Blvd, Suite 100, Stuart, FL 34996-3341 | 2017-04-13 |
1144776790 | Leah Elizabeth Acker | Nurse Practitioner | 2221 Se Ocean Blvd, Stuart, FL 34996 | 2016-09-01 |
Find all providers in STUART |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.