MEDICARE: CLAUDIA LIZBETH GUILLEN 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	363L00000X	Nurse Practitioner	AP130392	TX
2	363LF0000X	Family Nurse Practitioner	AP130392	TX

General Provider Information

NPI Number	:	1417404955
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLAUDIA LIZBETH GUILLEN NP

Provider Business Mailing Address
First Line	:	PO BOX 74008272
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60674-8272
Country	:	US
Telephone Number	:	702-899-0595
Fax Number	:

Provider Business Practice Location Address
First Line	:	5801 OAKBEND TRL STE 220
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76132-3916
Country	:	US
Telephone Number	:	817-346-4327
Fax Number	:

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

Provider Enumeration Date	:	09/01/2016
Last Update Date	:	11/04/2025

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Directions to “ CLAUDIA LIZBETH GUILLEN NP” Practice Location

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