Provider Demographics
NPI:1497949499
Name:GUZMAN, JACQUELINE LIZARDO (ARNP)
Entity type:Individual
Prefix:MRS
First Name:JACQUELINE
Middle Name:LIZARDO
Last Name:GUZMAN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:10320 W MCDOWELL RD STE 5015
Mailing Address - Street 2:
Mailing Address - City:AVONDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85392-4869
Mailing Address - Country:US
Mailing Address - Phone:469-500-2458
Mailing Address - Fax:480-546-3821
Practice Address - Street 1:10320 W MCDOWELL RD STE 5015
Practice Address - Street 2:
Practice Address - City:AVONDALE
Practice Address - State:AZ
Practice Address - Zip Code:85392-4869
Practice Address - Country:US
Practice Address - Phone:623-980-2150
Practice Address - Fax:480-546-3821
Is Sole Proprietor?:No
Enumeration Date:2007-09-01
Last Update Date:2024-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI8941363L00000X
AZAP8686363LN0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal