Provider Demographics
NPI:1134925878
Name:GUZMAN, NAKEISHA (RN)
Entity type:Individual
Prefix:
First Name:NAKEISHA
Middle Name:
Last Name:GUZMAN
Suffix:
Gender:
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:311 NUT TREE RD STE A
Mailing Address - Street 2:
Mailing Address - City:VACAVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95687-3243
Mailing Address - Country:US
Mailing Address - Phone:707-205-9870
Mailing Address - Fax:
Practice Address - Street 1:311 NUT TREE RD STE A
Practice Address - Street 2:
Practice Address - City:VACAVILLE
Practice Address - State:CA
Practice Address - Zip Code:95687-3243
Practice Address - Country:US
Practice Address - Phone:707-205-9870
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-24
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA246Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other