Provider Demographics
NPI:1194937938
Name:GUILKEY, DANA GAIL (RN, FNP-C)
Entity type:Individual
Prefix:MRS
First Name:DANA
Middle Name:GAIL
Last Name:GUILKEY
Suffix:
Gender:F
Credentials:RN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 CROCUS CIR
Mailing Address - Street 2:
Mailing Address - City:FLORISSANT
Mailing Address - State:CO
Mailing Address - Zip Code:80816-8824
Mailing Address - Country:US
Mailing Address - Phone:719-629-8794
Mailing Address - Fax:
Practice Address - Street 1:730 MACON AVE
Practice Address - Street 2:
Practice Address - City:CANON CITY
Practice Address - State:CO
Practice Address - Zip Code:81212-3314
Practice Address - Country:US
Practice Address - Phone:719-275-1618
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-04
Last Update Date:2024-08-13
Deactivation Date:2024-06-28
Deactivation Code:
Reactivation Date:2024-08-01
Provider Licenses
StateLicense IDTaxonomies
CO0999924363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO0129653OtherRN