Provider Demographics
NPI:1710688338
Name:GUIONT, ALLYIAH M (LPN)
Entity Type:Individual
Prefix:MISS
First Name:ALLYIAH
Middle Name:M
Last Name:GUIONT
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 1:505 DENCARY LN APT F
Mailing Address - Street 2:
Mailing Address - City:ENDICOTT
Mailing Address - State:NY
Mailing Address - Zip Code:13760-2394
Mailing Address - Country:US
Mailing Address - Phone:860-314-8230
Mailing Address - Fax:
Practice Address - Street 1:505 DENCARY LN APT F
Practice Address - Street 2:
Practice Address - City:ENDICOTT
Practice Address - State:NY
Practice Address - Zip Code:13760-2394
Practice Address - Country:US
Practice Address - Phone:860-314-8230
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-10
Last Update Date:2023-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT044769164W00000X
NY332831164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse