Basic Information
Provider Information
NPI: 1003806357
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GUILER
FirstName: SHERRY
MiddleName: DISHONG
NamePrefix: MRS.
NameSuffix:  
Credential: RNC ARNP WHNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1720 NICHOLASVILLE RD STE 702
Address2:  
City: LEXINGTON
State: KY
PostalCode: 405031489
CountryCode: US
TelephoneNumber: 8592648811
FaxNumber: 8592648822
Practice Location
Address1: 615 E. BRANNON RD.
Address2: STE. 200
City: NICHOLASVILLE
State: KY
PostalCode: 40356
CountryCode: US
TelephoneNumber: 8592648811
FaxNumber: 8592648822
Other Information
ProviderEnumerationDate: 10/27/2005
LastUpdateDate: 01/23/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 01/23/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000X4265PKYN Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 
363LW0102X4265PKYY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health

ID Information
IDTypeStateIssuerDescription
704454801KYAETNAOTHER


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