Provider Demographics
NPI:1063200400
Name:GUAJARDO, AISLIN (MA)
Entity type:Individual
Prefix:
First Name:AISLIN
Middle Name:
Last Name:GUAJARDO
Suffix:
Gender:
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12100 MELODY DR APT 302
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80234-2186
Mailing Address - Country:US
Mailing Address - Phone:210-726-0818
Mailing Address - Fax:
Practice Address - Street 1:2090 E 104TH AVE STE 303
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80233-4316
Practice Address - Country:US
Practice Address - Phone:720-347-8769
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-28
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program