Provider Demographics
NPI:1114438082
Name:MCGUIRE, ELIZABETH COLLETTE (MS, NBC-HWC)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:COLLETTE
Last Name:MCGUIRE
Suffix:
Gender:F
Credentials:MS, NBC-HWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2243 JONES ST APT 310
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68102-3019
Mailing Address - Country:US
Mailing Address - Phone:402-250-8547
Mailing Address - Fax:
Practice Address - Street 1:2243 JONES ST APT 310
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68102-3019
Practice Address - Country:US
Practice Address - Phone:402-250-8547
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-19
Last Update Date:2022-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE3204225700000X
A-3279453171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist