Provider Demographics
NPI:1104297332
Name:GUZAN, JAMES (CRNA)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:
Last Name:GUZAN
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43948 HUNSAKER RD
Mailing Address - Street 2:
Mailing Address - City:AVONDALE
Mailing Address - State:CO
Mailing Address - Zip Code:81022-9709
Mailing Address - Country:US
Mailing Address - Phone:330-442-3547
Mailing Address - Fax:
Practice Address - Street 1:112 W D ST
Practice Address - Street 2:SUITE 210A
Practice Address - City:PUEBLO
Practice Address - State:CO
Practice Address - Zip Code:81003-3461
Practice Address - Country:US
Practice Address - Phone:330-442-3547
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-14
Last Update Date:2016-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0992237-CRNA367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered