Individual provider · Type 1 NPI

Marietta Bermudez Guajardo, FNP-BC

Nurse Practitioner · Modesto, CA

NPI number 1033512868 Active

Practice location

600 Coffee Rd
Modesto, CA 95355-4201

Fax (209) 550-4830

Mailing address

PO Box 255228
Sacramento, CA 95865-5228

Other practice locations

  • 7913 Bandera Rd, San Antonio, TX 78250-6511 · (210) 698-9841

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000XAP126286 (TX)
Nurse Practitioner Primary 363L00000XNP95005262 (CA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1033512868

Marietta Bermudez Guajardo, FNP-BC's National Provider Identifier is 1033512868, issued on Oct 7, 2014. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Modesto, CA. The record was last updated on May 26, 2026.