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NPI Code Detail

MEDICARE: ALIVIA GUTHRIE

MEDICARE:   ALIVIA  GUTHRIE
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
1363LA2200XAdult Health Nurse PractitionerF311686NY
2363LG0600XGerontology Nurse Practitioner1188009TX

General Provider Information

NPI Number : 1821834185
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALIVIA GUTHRIE
Provider Business Mailing Address
First Line : PO BOX 844658
Second Line :
City : DALLAS
State : TX
Zip : 75284-4658
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 300 UNIVERSITY BLVD BLDG A
Second Line :
City : ROUND ROCK
State : TX
Zip : 78665-1032
Country : US
Telephone Number : 254-724-2111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2024
Last Update Date : 01/12/2026

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Directions to “ ALIVIA GUTHRIE ” Practice Location

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