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NPI Code Detail

MEDICARE: MS. MICHELLE DENISE GUY LPN

MEDICARE: MS. MICHELLE DENISE GUY LPN
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
1164W00000XLicensed Practical Nurse26NP04923300NJ

General Provider Information

NPI Number : 1578535688
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MICHELLE DENISE GUY LPN
Provider Business Mailing Address
First Line : 147 E KENNEDY BLVD
Second Line : APT 18
City : LAKEWOOD
State : NJ
Zip : 08701-1324
Country : US
Telephone Number : 732-364-8156
Fax Number :
Provider Business Practice Location Address
First Line : 5250 NEW JERSEY AVE
Second Line :
City : FORT DIX
State : NJ
Zip : 08640-5017
Country : US
Telephone Number : 609-562-4971
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2006
Last Update Date : 07/08/2007

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