Provider Demographics
NPI:1720207301
Name:GUIDA, RICKIE (NP)
Entity Type:Individual
Prefix:
First Name:RICKIE
Middle Name:
Last Name:GUIDA
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 1:6169 S. BALSAM WAY
Mailing Address - Street 2:SUITE 280
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80123
Mailing Address - Country:US
Mailing Address - Phone:303-797-9199
Mailing Address - Fax:877-785-1443
Practice Address - Street 1:6179 S. BALSAM
Practice Address - Street 2:SUITE 200
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80123-9093
Practice Address - Country:US
Practice Address - Phone:303-972-6658
Practice Address - Fax:303-973-9997
Is Sole Proprietor?:No
Enumeration Date:2007-04-24
Last Update Date:2017-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO47421363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO37285335Medicaid
CO17506239Medicaid
COCO300747Medicare PIN
CO17506239Medicaid
CO37285335Medicaid
COP75299Medicare UPIN