Provider Demographics
NPI:1548557291
Name:GUZMAN, THELMA DUMAPIT (RN, MS, ANP)
Entity type:Individual
Prefix:
First Name:THELMA
Middle Name:DUMAPIT
Last Name:GUZMAN
Suffix:
Gender:F
Credentials:RN, MS, ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
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Mailing Address - Street 1:153 AUTUMN RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:MORRIS PLAINS
Mailing Address - State:NJ
Mailing Address - Zip Code:07950-1198
Mailing Address - Country:US
Mailing Address - Phone:973-214-4383
Mailing Address - Fax:
Practice Address - Street 1:741 BROADWAY
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07104-4309
Practice Address - Country:US
Practice Address - Phone:973-214-4383
Practice Address - Fax:973-455-0601
Is Sole Proprietor?:No
Enumeration Date:2011-07-01
Last Update Date:2021-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00018600363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health