Healthcare Provider Details

I. General information

NPI: 1801513072
Provider Name (Legal Business Name): SILVIA MCGUIRE FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/27/2022
Last Update Date: 10/31/2024
Certification Date: 10/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12033 W AGENCY AVE
PARKER AZ
85344-4912
US

IV. Provider business mailing address

1313 W 8TH ST
PARKER AZ
85344-4912
US

V. Phone/Fax

Practice location:
  • Phone: 928-669-2137
  • Fax:
Mailing address:
  • Phone: 928-851-5276
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License NumberRN170125
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number286769
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: