Provider Demographics
NPI:1831870138
Name:GUIZAR, GABRIELA ALICIA (DNP, APRN, PMHNP-BC)
Entity type:Individual
Prefix:DR
First Name:GABRIELA
Middle Name:ALICIA
Last Name:GUIZAR
Suffix:
Gender:F
Credentials:DNP, APRN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2600 F ST
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98663-3031
Mailing Address - Country:US
Mailing Address - Phone:360-448-7827
Mailing Address - Fax:
Practice Address - Street 1:2600 F ST
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98663-3031
Practice Address - Country:US
Practice Address - Phone:360-448-7827
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-28
Last Update Date:2024-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR10026157363LP0808X
WAAP61576967363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health