Provider Demographics
NPI:1134271315
Name:GUTHRIE, EMBER ANN (FNP AND APMHNP)
Entity type:Individual
Prefix:MRS
First Name:EMBER
Middle Name:ANN
Last Name:GUTHRIE
Suffix:
Gender:F
Credentials:FNP AND APMHNP
Other - Prefix:
Other - First Name:EMBER
Other - Middle Name:ANN
Other - Last Name:PITTS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP AND APMHNP
Mailing Address - Street 1:MEMORIAL HOSPITAL AND CLINICS
Mailing Address - Street 2:4500 13TH STREET
Mailing Address - City:GULFPORT
Mailing Address - State:MS
Mailing Address - Zip Code:39501
Mailing Address - Country:US
Mailing Address - Phone:228-867-4000
Mailing Address - Fax:228-865-1700
Practice Address - Street 1:MEMORIAL HOSPITAL AND CLINICS
Practice Address - Street 2:4500 13TH STREET
Practice Address - City:GULFPORT
Practice Address - State:MS
Practice Address - Zip Code:39501
Practice Address - Country:US
Practice Address - Phone:228-867-4000
Practice Address - Fax:228-865-1700
Is Sole Proprietor?:No
Enumeration Date:2007-01-17
Last Update Date:2021-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSR854887363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00209037Medicaid
P90227Medicare UPIN
MS00209037Medicaid