| Doctor Name: | MRS. ANN-THERESE GUILLORY |
| NPI Number: | 1699186130 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | 60072383102 |
| Business Practice Address: | 7329 Balmer St Bldg 546 Hill Afb, UT - 840565012 |
| Business Phone Number: | 8017770634 |
| Business Fax Number: | |
| Mailing Address: | 1217 E 2675 N, LAYTON |
| State: | UT |
| Postal Code: | 840408521 |
| Phone Number: | 5044394428 |
| Fax Number: | |
| NPI Enumeration Date: | 05/19/2014 |
| NPI Last Update Date: | 05/19/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WW0101X |
| License Number: | 60072383102 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Women's Health Care, Ambulatory |
| Taxonomy Definition: | |