Doctor Name: | HEATHER GUESS |
NPI Number: | 1962472977 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | F330597-1 |
Business Practice Address: | 1060 Gaffney Rd Bassett Army Community Hospital Fort Wainwright, AK - 997037401 |
Business Phone Number: | 9073535418 |
Business Fax Number: | 9073534845 |
Mailing Address: | 1060 Gaffney Rd, Commander, Usa-medac-ak, Attn: Mcuc-mmd-qm FORT WAINWRIGHT |
State: | AK |
Postal Code: | 997035001 |
Phone Number: | 9073535418 |
Fax Number: | 9073534845 |
NPI Enumeration Date: | 01/23/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | F330597-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |