Doctor Name: | WILLIAM GUFFIN |
NPI Number: | 1073942199 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 1-037701 |
Business Practice Address: | 113 Lielmanis Ave Hurlburt Field, FL - 325445613 |
Business Phone Number: | 8505827297 |
Business Fax Number: | |
Mailing Address: | 113 Lielmanis Ave, HURLBURT FIELD |
State: | FL |
Postal Code: | 325445613 |
Phone Number: | 8505827297 |
Fax Number: | |
NPI Enumeration Date: | 11/08/2013 |
NPI Last Update Date: | 11/08/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0808X |
License Number: | 1-037701 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |