Provider Demographics
NPI:1700467339
Name:GUTHRIE, REBECCA ROBIN (APRN)
Entity type:Individual
Prefix:MS
First Name:REBECCA
Middle Name:ROBIN
Last Name:GUTHRIE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:REBECCA
Other - Middle Name:ROBIN
Other - Last Name:DAGGETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:12252 145TH LN
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33774-2811
Mailing Address - Country:US
Mailing Address - Phone:727-515-8205
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 530247
Practice Address - Street 2:
Practice Address - City:SAINT PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33747-0247
Practice Address - Country:US
Practice Address - Phone:727-615-4425
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-15
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11012752363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner