| Doctor Name: | MS. DEBRA SUE GUZMAN |
| NPI Number: | 1255627253 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | NP 201150057 |
| Business Practice Address: | 780 2nd St Se Suite 7 Bandon, OR - 974118354 |
| Business Phone Number: | 5413472529 |
| Business Fax Number: | 5413479196 |
| Mailing Address: | Po Box 423, BANDON |
| State: | OR |
| Postal Code: | 974110423 |
| Phone Number: | 5413472529 |
| Fax Number: | 5413479196 |
| NPI Enumeration Date: | 06/28/2011 |
| NPI Last Update Date: | 10/22/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | NP 201150057 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |