Provider Demographics
NPI:1699017699
Name:GUERRERO, NESTOR M (ARNP)
Entity type:Individual
Prefix:MR
First Name:NESTOR
Middle Name:M
Last Name:GUERRERO
Suffix:
Gender:M
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1328
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33846-1328
Mailing Address - Country:US
Mailing Address - Phone:863-937-3139
Mailing Address - Fax:863-937-3147
Practice Address - Street 1:5325 US HWY 98 S
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33812-3381
Practice Address - Country:US
Practice Address - Phone:863-937-3139
Practice Address - Fax:863-937-3147
Is Sole Proprietor?:No
Enumeration Date:2013-03-18
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9315660363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLARNP9315660OtherLICENSE
FLARNP9315660OtherLICENSE
FLARNP9315660OtherLICENSE