MEDICARE: MRS. TAMBRA B GUINN MSN, APRN, AGPCNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LG0600X	Gerontology Nurse Practitioner	AP134478	TX
2	363LP2300X	Primary Care Nurse Practitioner	AP134478	TX
3	363LA2200X	Adult Health Nurse Practitioner	AP134478	TX
4	363L00000X	Nurse Practitioner	AP134478	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558884809
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. TAMBRA B GUINN MSN, APRN, AGPCNP-BC

Provider Business Mailing Address
First Line	:	5725 OVERRIDGE DR
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76017-1139
Country	:	US
Telephone Number	:	972-871-0100
Fax Number	:

Provider Business Practice Location Address
First Line	:	4545 FULLER DR STE 330
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75038-6557
Country	:	US
Telephone Number	:	972-871-0100
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/19/2017
Last Update Date	:	12/12/2025

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