Provider Demographics
NPI:1124888011
Name:DE GUZMAN, DANICA ANNE (FNP)
Entity type:Individual
Prefix:
First Name:DANICA
Middle Name:ANNE
Last Name:DE GUZMAN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:616 LINDNER CT
Mailing Address - Street 2:
Mailing Address - City:RARITAN
Mailing Address - State:NJ
Mailing Address - Zip Code:08869-2309
Mailing Address - Country:US
Mailing Address - Phone:908-400-6401
Mailing Address - Fax:
Practice Address - Street 1:616 LINDNER CT
Practice Address - Street 2:
Practice Address - City:RARITAN
Practice Address - State:NJ
Practice Address - Zip Code:08869-2309
Practice Address - Country:US
Practice Address - Phone:908-400-6401
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-19
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ14978400363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily