Provider Demographics
NPI:1265403604
Name:GUILD, BILLY E JR (ARNP)
Entity type:Individual
Prefix:MR
First Name:BILLY
Middle Name:E
Last Name:GUILD
Suffix:JR
Gender:M
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:608 NW 9TH ST STE 3000
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73102-1016
Mailing Address - Country:US
Mailing Address - Phone:405-272-7337
Mailing Address - Fax:405-231-3059
Practice Address - Street 1:608 NW 9TH ST STE 3000
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73102
Practice Address - Country:US
Practice Address - Phone:405-272-7337
Practice Address - Fax:405-231-3059
Is Sole Proprietor?:No
Enumeration Date:2006-02-01
Last Update Date:2020-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKR0064928363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100160480AMedicaid
OK100160480AMedicaid