Individual provider · Type 1 NPI

Victor Lao De Guzman Jr., AGACNP-BC, ACNPC-AG

Gerontology Nurse Practitioner · Tacoma, WA

NPI number 1497234884 Active

Practice location

1717 S J St
Tacoma, WA 98405-4933

Fax (253) 761-1040

Other practice locations

  • 5501 S Expressway 77, Harlingen, TX 78550-3213 · (956) 365-1000
  • 1455 Battersby Ave, Enumclaw, WA 98022 · (253) 426-6341

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000XAP60951857 (WA)
Acute Care Nurse Practitioner 363LA2100XAP138293 (TX)
Gerontology Nurse Practitioner Primary 363LG0600XAP60951857 (WA)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1497234884

Victor Lao De Guzman Jr., AGACNP-BC, ACNPC-AG's National Provider Identifier is 1497234884, issued on Aug 7, 2018. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Tacoma, WA. The record was last updated on Dec 2, 2020.