Provider Demographics
NPI:1811980865
Name:SHOOD, GUYANNE (NP,)
Entity type:Individual
Prefix:MS
First Name:GUYANNE
Middle Name:
Last Name:SHOOD
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 1:500 LA TERRAZA BLVD SUITE #130
Mailing Address - Street 2:
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92025-3875
Mailing Address - Country:US
Mailing Address - Phone:760-737-2050
Mailing Address - Fax:760-796-3788
Practice Address - Street 1:500 LA TERRAZA BLVD SUITE #130
Practice Address - Street 2:
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92025-3875
Practice Address - Country:US
Practice Address - Phone:760-737-2050
Practice Address - Fax:760-796-3788
Is Sole Proprietor?:No
Enumeration Date:2005-08-25
Last Update Date:2018-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANPF1660363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health