Guillory, Shirley Dianne

Guillory, Shirley Dianne is an individual health care provider with primary practice located at 475 State Highway 83 , Defuniak Springs FL 32433. She recently has only one registered license in Nursing Service Providers / Women's Health Care, Ambulatory, which is considered as her primary health care specialty. Guillory, Shirley Dianne can be contacted via phone (850) 892-8015.

Contact Information

Primary practice address
475 State Highway 83 Defuniak Springs FL 32433
Phone: (850) 892-8015
Fax: (850) 892-8457
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Women's Health Care, Ambulatory 163WW0101X ARNP1182132 Florida

Profile Details

NPI number 1992764005
LBN Legal business name Guillory, Shirley Dianne
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2006
Last updated Jan 23rd, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992764005 NPPES
Florida Other U6063Z PROVIDER INS

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