Provider Demographics
NPI:1013781889
Name:GUERRIER, TANNIES FRANCINE
Entity Type:Individual
Prefix:
First Name:TANNIES
Middle Name:FRANCINE
Last Name:GUERRIER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5011 LEEWARD LN
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33312-5223
Mailing Address - Country:US
Mailing Address - Phone:305-494-9717
Mailing Address - Fax:
Practice Address - Street 1:5011 LEEWARD LN
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33312-5223
Practice Address - Country:US
Practice Address - Phone:305-494-9717
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-13
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL010469171400000X
FL0100469174H00000X, 172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker
No171400000XOther Service ProvidersHealth & Wellness Coach
No174H00000XOther Service ProvidersHealth Educator