Provider Demographics
NPI:1407195381
Name:GUERRA, DIANA (FNP)
Entity Type:Individual
Prefix:
First Name:DIANA
Middle Name:
Last Name:GUERRA
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:208 E JAY AVE
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-2043
Mailing Address - Country:US
Mailing Address - Phone:956-460-3225
Mailing Address - Fax:
Practice Address - Street 1:702 W EXPRESSWAY 83
Practice Address - Street 2:STE. D
Practice Address - City:PHARR
Practice Address - State:TX
Practice Address - Zip Code:78577-6508
Practice Address - Country:US
Practice Address - Phone:956-781-9600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-12
Last Update Date:2013-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX234683364SF0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SF0001XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistFamily Health