Provider Demographics
NPI:1386212660
Name:GUICE, ATHENA GABRIELLA (CERTIFIED DOULA)
Entity Type:Individual
Prefix:
First Name:ATHENA
Middle Name:GABRIELLA
Last Name:GUICE
Suffix:
Gender:F
Credentials:CERTIFIED DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7301 N UNIVERSITY DR STE 209
Mailing Address - Street 2:
Mailing Address - City:TAMARAC
Mailing Address - State:FL
Mailing Address - Zip Code:33321-2935
Mailing Address - Country:US
Mailing Address - Phone:754-244-5082
Mailing Address - Fax:
Practice Address - Street 1:7301 N UNIVERSITY DR STE 209
Practice Address - Street 2:
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33321-2935
Practice Address - Country:US
Practice Address - Phone:754-244-5082
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-14
Last Update Date:2021-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty