Provider Demographics
NPI:1982924254
Name:GUGLIUZZA, MARGARET M (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:M
Last Name:GUGLIUZZA
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
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Mailing Address - Street 1:5530 SHERIDAN DR
Mailing Address - Street 2:1B
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-3730
Mailing Address - Country:US
Mailing Address - Phone:716-636-1947
Mailing Address - Fax:716-636-1369
Practice Address - Street 1:5530 SHERIDAN DR
Practice Address - Street 2:1B
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-3730
Practice Address - Country:US
Practice Address - Phone:716-636-1947
Practice Address - Fax:716-636-1369
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-09
Last Update Date:2019-01-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NYF301261-1363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00056512002OtherBLUE CROSS BLUE SHIELD
NY0002655801OtherUNIVERA
NY9511937OtherINDEPENDENT HEALTH
NY1982924254OtherNON PAR