| Doctor Name: | CHRISTINE S MCGUIRE |
| NPI Number: | 1083667257 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PMHNP, FNP |
| License Number: | NP-1686A |
| Business Practice Address: | 2005 Arlington Ave Caldwell, ID - 836054808 |
| Business Phone Number: | 2084591025 |
| Business Fax Number: | 2084591080 |
| Mailing Address: | 2005 Arlington Ave, CALDWELL |
| State: | ID |
| Postal Code: | 836054808 |
| Phone Number: | 2084591025 |
| Fax Number: | 2084591080 |
| NPI Enumeration Date: | 05/18/2006 |
| NPI Last Update Date: | 02/02/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | NP-1686A |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | ID |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |