Provider Demographics
NPI: | 1760464846 |
---|---|
Name: | GUIRAND, PASCALE (FNP-BC) |
Entity Type: | Individual |
Prefix: | DR |
First Name: | PASCALE |
Middle Name: | |
Last Name: | GUIRAND |
Suffix: | |
Gender: | F |
Credentials: | FNP-BC |
Other - Prefix: | |
Other - First Name: | |
Other - Middle Name: | |
Other - Last Name: | |
Other - Suffix: | |
Other - Last Name Type: | |
Other - Credentials: | |
Mailing Address - Street 1: | 100 N HANOVER ST |
Mailing Address - Street 2: | |
Mailing Address - City: | CARLISLE |
Mailing Address - State: | PA |
Mailing Address - Zip Code: | 17013-2421 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 717-218-6670 |
Mailing Address - Fax: | 717-218-6670 |
Practice Address - Street 1: | 100 N HANOVER ST |
Practice Address - Street 2: | |
Practice Address - City: | CARLISLE |
Practice Address - State: | PA |
Practice Address - Zip Code: | 17013-2421 |
Practice Address - Country: | US |
Practice Address - Phone: | 717-218-6670 |
Practice Address - Fax: | 717-218-6671 |
Is Sole Proprietor?: | No |
Enumeration Date: | 2005-11-15 |
Last Update Date: | 2022-09-30 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
NY | F332069 | 171000000X |
NY | F3320691 | 363LF0000X |
PA | SP010131 | 363LF0000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No | 171000000X | Other Service Providers | Military Health Care Provider |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
NY | 97V571 | Medicare ID - Type Unspecified |