Provider Demographics
NPI:1508156886
Name:GUYRE, AMY JO (RN)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:JO
Last Name:GUYRE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 MOUNTAIN RD
Mailing Address - Street 2:
Mailing Address - City:ROSENDALE
Mailing Address - State:NY
Mailing Address - Zip Code:12472-9652
Mailing Address - Country:US
Mailing Address - Phone:845-901-0958
Mailing Address - Fax:
Practice Address - Street 1:31 MOUNTAIN RD
Practice Address - Street 2:
Practice Address - City:ROSENDALE
Practice Address - State:NY
Practice Address - Zip Code:12472-9652
Practice Address - Country:US
Practice Address - Phone:845-901-0958
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-07
Last Update Date:2011-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY636070-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse