Mrs Shirley Dianne Guillory, ARNP | |
475 State Highway 83, Defuniak Springs, FL 32433 | |
(850) 892-8015 | |
(850) 892-8457 |
Full Name | Mrs Shirley Dianne Guillory |
---|---|
Gender | Female |
Speciality | Registered Nurse - Women's Health Care, Ambulatory |
Location | 475 State Highway 83, Defuniak Springs, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992764005 | NPI | - | NPPES |
U6063Z | Other | FL | PROVIDER INS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WW0101X | Registered Nurse - Women's Health Care, Ambulatory | ARNP1182132 (Florida) | Primary |
Entity Name | Florida Department Of Health |
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Entity Type | Part B Supplier - Public Health/welfare Agency |
Entity Identifiers | NPI Number: 1790746535 PECOS PAC ID: 3072424282 Enrollment ID: O20061222000176 |
Mailing Address | Practice Location Address |
---|---|
Mrs Shirley Dianne Guillory, ARNP Po Box 968, Defuniak Springs, FL 32435-0968 Ph: (850) 951-2036 | Mrs Shirley Dianne Guillory, ARNP 475 State Highway 83, Defuniak Springs, FL 32433 Ph: (850) 892-8015 |
Vicky E Dantzler, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 324 Ralph Long Rd, Defuniak Springs, FL 32433 Phone: 850-533-6018 | |
Diane Campbell Little, ARNP Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3686 Us Highway 331 S, Defuniak Springs, FL 32435 Phone: 850-892-8045 Fax: 850-892-8039 | |
Wendi Machelle Holden, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 287 Bob Mccaskill Dr, Defuniak Springs, FL 32433 Phone: 850-401-4502 |