Provider Demographics
NPI:1477891521
Name:CANGE, GUIRLEN (NP)
Entity Type:Individual
Prefix:MS
First Name:GUIRLEN
Middle Name:
Last Name:CANGE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:170 MAPLE AVE
Mailing Address - Street 2:SUITE 502
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10601
Mailing Address - Country:US
Mailing Address - Phone:914-948-1000
Mailing Address - Fax:914-948-1890
Practice Address - Street 1:170 MAPLE AVE
Practice Address - Street 2:SUITE 502
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10601
Practice Address - Country:US
Practice Address - Phone:914-948-1000
Practice Address - Fax:914-948-1890
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-24
Last Update Date:2013-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF306272-1363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health