Provider Demographics
NPI:1659898484
Name:GUIJO, ANNE RACHEL SERRANO (NP)
Entity Type:Individual
Prefix:MRS
First Name:ANNE RACHEL
Middle Name:SERRANO
Last Name:GUIJO
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:ANNE RACHEL
Other - Middle Name:ONTALAN
Other - Last Name:SERRANO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NP
Mailing Address - Street 1:710 S BROADWAY STE 300
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94596-5229
Mailing Address - Country:US
Mailing Address - Phone:925-295-6783
Mailing Address - Fax:925-295-3984
Practice Address - Street 1:710 S BROADWAY STE 300
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94596-5229
Practice Address - Country:US
Practice Address - Phone:925-295-6783
Practice Address - Fax:925-295-3984
Is Sole Proprietor?:No
Enumeration Date:2017-08-23
Last Update Date:2022-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA791060163W00000X
CA95006074363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse