Basic Information
Provider Information
NPI: 1811221096
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GUERRIER
FirstName: MAGDALA
MiddleName:  
NamePrefix: MS.
NameSuffix:  
Credential: ARNP, FNP-BC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 224 SANTA BARBARA BLVD
Address2: SUITE 205
City: CAPE CORAL
State: FL
PostalCode: 339912038
CountryCode: US
TelephoneNumber: 2394241449
FaxNumber: 2394241421
Practice Location
Address1: 3511 MARTIN LUTHER KING BLVD
Address2:  
City: FORT MYERS
State: FL
PostalCode: 339164651
CountryCode: US
TelephoneNumber: 2393434910
FaxNumber: 2393434911
Other Information
ProviderEnumerationDate: 09/22/2009
LastUpdateDate: 11/10/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363L00000XARNP3292852FLY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 

No ID Information.


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