Healthcare Provider Details

I. General information

NPI: 1760464846
Provider Name (Legal Business Name): PASCALE GUIRAND FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/15/2005
Last Update Date: 09/30/2022
Certification Date: 09/30/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 N HANOVER ST
CARLISLE PA
17013-2421
US

IV. Provider business mailing address

100 N HANOVER ST
CARLISLE PA
17013-2421
US

V. Phone/Fax

Practice location:
  • Phone: 717-218-6670
  • Fax: 717-218-6671
Mailing address:
  • Phone: 717-218-6670
  • Fax: 717-218-6670

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF3320691
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP010131
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License NumberF332069
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: