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NPI Code Detail

MEDICARE: DR. ANGELA MARIE GUIDRY PH.D, APRN, CPNP-PC

MEDICARE: DR. ANGELA MARIE GUIDRY PH.D, APRN, CPNP-PC
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
1363LP0200XPediatric Nurse PractitionerAPRN-NP091759GA

General Provider Information

NPI Number : 1750686762
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANGELA MARIE GUIDRY PH.D, APRN, CPNP-PC
Provider Business Mailing Address
First Line : 70 HEATHROW DR
Second Line :
City : RIVERDALE
State : GA
Zip : 30274-2763
Country : US
Telephone Number : 678-457-1229
Fax Number :
Provider Business Practice Location Address
First Line : 2220 N DRUID HILLS RD NE
Second Line :
City : ATLANTA
State : GA
Zip : 30329-3117
Country : US
Telephone Number : 404-785-5437
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/21/2011
Last Update Date : 06/07/2026

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