Healthcare Provider Details

I. General information

NPI: 1689783730
Provider Name (Legal Business Name): REBECCA L GUZINSKI PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 03/10/2022
Certification Date: 03/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 SOUTH 9TH STREET COTTONWOOD CLINIC
TEKAMAH NE
68061-1487
US

IV. Provider business mailing address

207 N HAMMARSTROM AVE
OAKLAND NE
68045-1415
US

V. Phone/Fax

Practice location:
  • Phone: 402-374-1585
  • Fax: 402-374-1612
Mailing address:
  • Phone: 402-719-8020
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number1027
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: