Provider Demographics
NPI:1376010397
Name:GUZMAN, ASHLEY MICHELLE (DNP, ARNP, FNP-BC)
Entity Type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:MICHELLE
Last Name:GUZMAN
Suffix:
Gender:F
Credentials:DNP, ARNP, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11403 SW 87TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-4303
Mailing Address - Country:US
Mailing Address - Phone:305-343-0079
Mailing Address - Fax:
Practice Address - Street 1:12600 SW 120TH ST STE 105
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-9115
Practice Address - Country:US
Practice Address - Phone:305-253-0233
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-29
Last Update Date:2018-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9384103363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily