Thara L Guillory Valid NPI

Individual provider · Adult Health Nurse Practitioner · Avenel, NJ

NPI

1083581490

Type

Individual (Type 1)

Primary specialty

Adult Health Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LA2200X

License number

RN9573108 (FL)

Sex

Female

Sole proprietor

No

Enumerated

2025-10-21

Last updated

2025-10-21