Provider Demographics
NPI:1548532609
Name:GUZMAN, ALICIA (FNP)
Entity type:Individual
Prefix:
First Name:ALICIA
Middle Name:
Last Name:GUZMAN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:605 N MAIN ST
Mailing Address - Street 2:STE B
Mailing Address - City:DONNA
Mailing Address - State:TX
Mailing Address - Zip Code:78537-2726
Mailing Address - Country:US
Mailing Address - Phone:956-584-0100
Mailing Address - Fax:956-584-2783
Practice Address - Street 1:1112 E GRIFFIN PKWY
Practice Address - Street 2:SUITE A
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78572-2408
Practice Address - Country:US
Practice Address - Phone:956-584-0100
Practice Address - Fax:956-584-2783
Is Sole Proprietor?:No
Enumeration Date:2012-02-06
Last Update Date:2019-07-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX632498363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily