Provider Demographics
NPI:1588279996
Name:GUIMOND, TAWNYA MARIE HUGHES (LM, CPM)
Entity type:Individual
Prefix:
First Name:TAWNYA
Middle Name:MARIE HUGHES
Last Name:GUIMOND
Suffix:
Gender:
Credentials:LM, CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3464 S ARCTIC FOX AVE
Mailing Address - Street 2:
Mailing Address - City:EAGLE
Mailing Address - State:ID
Mailing Address - Zip Code:83616-3329
Mailing Address - Country:US
Mailing Address - Phone:949-510-0520
Mailing Address - Fax:
Practice Address - Street 1:3464 S ARCTIC FOX AVE
Practice Address - Street 2:
Practice Address - City:EAGLE
Practice Address - State:ID
Practice Address - Zip Code:83616-3329
Practice Address - Country:US
Practice Address - Phone:949-510-0520
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-11
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175M00000XOther Service ProvidersMidwife, Lay