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NPI Code Detail

MEDICARE: RENE GUILD APRN, FNP-BC, CDE

MEDICARE: RENE GUILD APRN, FNP-BC, CDE
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
1363LC1500XCommunity Health Nurse PractitionerRN078829NPGA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2202I503048OTHERGAMEDICARE PTAN
4GRP 1855OTHERMEDICARE GROUP PTAN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3RN078829NPOTHERGANURSE PRACTITIONER LIC.

General Provider Information

NPI Number : 1548256233
Entity Type Code : Individual
Provider Name (Legal Business Name) : RENE GUILD APRN, FNP-BC, CDE
Provider Business Mailing Address
First Line : 165 BLUE RIDGE OVERLOOK
Second Line :
City : BLUE RIDGE
State : GA
Zip : 30513-4431
Country : US
Telephone Number : 706-946-5600
Fax Number : 706-374-7628
Provider Business Practice Location Address
First Line : 165 BLUE RIDGE OVERLOOK
Second Line :
City : BLUE RIDGE
State : GA
Zip : 30513-4431
Country : US
Telephone Number : 706-946-4647
Fax Number : 706-374-7628
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2005
Last Update Date : 03/07/2023

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