Provider Demographics
NPI:1306849864
Name:GUZMAN, MARIA ELENA (RN,WHNP,BS)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:ELENA
Last Name:GUZMAN
Suffix:
Gender:F
Credentials:RN,WHNP,BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:191 E. PRICE ROAD
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78521-2908
Mailing Address - Country:US
Mailing Address - Phone:956-621-3593
Mailing Address - Fax:956-621-3689
Practice Address - Street 1:191 E. PRICE ROAD
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78521-2908
Practice Address - Country:US
Practice Address - Phone:956-621-3593
Practice Address - Fax:956-621-3689
Is Sole Proprietor?:No
Enumeration Date:2005-05-27
Last Update Date:2012-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX509769363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX103869704Medicaid
TX103869704Medicaid
TXS35394Medicare UPIN