Individual provider · Type 1 NPI

Vidmar Ivan Carrillo Guzman

Family Nurse Practitioner · Georgetown, DE

NPI number 1780517375 Active

Practice location

21444 Carmean Way
Georgetown, DE 19947-4572

Fax (302) 654-1061

Other practice locations

  • 21 W Clarke Ave Ste 1001, Milford, DE 19963-1849 · (302) 855-1233

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XLG-0013919 (DE)

Family Nurse Practitioner: Definition to come...

43 other providers at this address

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About NPI 1780517375

Vidmar Ivan Carrillo Guzman's National Provider Identifier is 1780517375, issued on Jun 4, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Georgetown, DE. The record was last updated on Jun 4, 2026.