Healthcare Provider Details

I. General information

NPI: 1417774209
Provider Name (Legal Business Name): ANNE HELEN GUTHRIE RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/23/2024
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 E MCDOWELL RD STE 205
PHOENIX AZ
85006-2608
US

IV. Provider business mailing address

1010 E MCDOWELL RD STE 205
PHOENIX AZ
85006-2608
US

V. Phone/Fax

Practice location:
  • Phone: 480-562-6013
  • Fax: 855-217-1930
Mailing address:
  • Phone: 480-562-6013
  • Fax: 855-217-1930

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number344811
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: