MEDICARE: MS. SANDRA ANN GUIDREY NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP2300X	Primary Care Nurse Practitioner	97803	MA

General Provider Information

NPI Number	:	1396886180
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SANDRA ANN GUIDREY NP

Provider Business Mailing Address
First Line	:	9201 E MOUNTAIN VIEW RD
Second Line	:	STE 220
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85258-5172
Country	:	US
Telephone Number	:	508-653-8500
Fax Number	:

Provider Business Practice Location Address
First Line	:	188 COMMONWEALTH RD
Second Line	:
City	:	WAYLAND
State	:	MA
Zip	:	01778-5027
Country	:	US
Telephone Number	:	508-653-8500
Fax Number	:	508-650-0121

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/12/2007
Last Update Date	:	05/17/2018

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