Provider Demographics
NPI:1770325516
Name:GUZMAN, ADARLYN (NP)
Entity type:Individual
Prefix:
First Name:ADARLYN
Middle Name:
Last Name:GUZMAN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:58 ROSE ANN LN
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:10918-4003
Mailing Address - Country:US
Mailing Address - Phone:347-364-3358
Mailing Address - Fax:
Practice Address - Street 1:58 ROSE ANN LN
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:NY
Practice Address - Zip Code:10918-4003
Practice Address - Country:US
Practice Address - Phone:347-364-3358
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-12
Last Update Date:2024-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY795975363LF0000X
NJ26NR22643700363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily