Provider Demographics
NPI:1629312574
Name:GUICE, CHOYCE (LPN)
Entity Type:Individual
Prefix:
First Name:CHOYCE
Middle Name:
Last Name:GUICE
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:690 MULL AVE APT 2E
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44313-7548
Mailing Address - Country:US
Mailing Address - Phone:317-993-4065
Mailing Address - Fax:
Practice Address - Street 1:1557 VERNON ODOM BLVD STE 101
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44320-4061
Practice Address - Country:US
Practice Address - Phone:317-993-4065
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-15
Last Update Date:2022-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH150691164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1629312574OtherNPI
OH150691OtherOHIO BOARD OF NURSING