Healthcare Provider Details

I. General information

NPI: 1659819159
Provider Name (Legal Business Name): ALANNA MARIE HARMON-GUERRERO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/03/2017
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9217 FAIRWAY CT
MANASSAS PARK VA
20111-3050
US

IV. Provider business mailing address

9217 FAIRWAY CT
MANASSAS PARK VA
20111-3050
US

V. Phone/Fax

Practice location:
  • Phone: 787-974-3110
  • Fax:
Mailing address:
  • Phone: 787-974-3110
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number0024197312
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number0001329031
License Number StateVA
# 3
Primary TaxonomyN
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number81822
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: