Provider Demographics
NPI:1619799228
Name:GUY, NIKAYLA C (LPN, DOULA, RM)
Entity type:Individual
Prefix:
First Name:NIKAYLA
Middle Name:C
Last Name:GUY
Suffix:
Gender:F
Credentials:LPN, DOULA, RM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16600 LIBBY RD
Mailing Address - Street 2:
Mailing Address - City:MAPLE HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44137-1306
Mailing Address - Country:US
Mailing Address - Phone:216-468-2065
Mailing Address - Fax:
Practice Address - Street 1:16546 LIBBY RD
Practice Address - Street 2:
Practice Address - City:MAPLE HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44137-1304
Practice Address - Country:US
Practice Address - Phone:216-468-2065
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-26
Last Update Date:2025-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH125521164W00000X
OH374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No164W00000XNursing Service ProvidersLicensed Practical Nurse