| Michelle Lynne Guidry, APRFNP | |
|
717 S Sylvania Ave, Sturtevant, WI 53177-1226 | |
| (262) 898-8491 | |
| (262) 898-8492 |
| Full Name | Michelle Lynne Guidry |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 717 S Sylvania Ave, Sturtevant, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003599309 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 2022067755 (Wisconsin) | Primary |
| Entity Name | Theoria Medical |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609362375 PECOS PAC ID: 5395098339 Enrollment ID: O20220331000407 |
| Entity Name | Interstate Health Systems Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073216990 PECOS PAC ID: 0749634939 Enrollment ID: O20230921001784 |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Lynne Guidry, APRFNP 2003 W Fulton St # 303, Chicago, IL 60612-2345 Ph: (612) 963-1114 | Michelle Lynne Guidry, APRFNP 717 S Sylvania Ave, Sturtevant, WI 53177-1226 Ph: (262) 898-8491 |
Jeremy L Kaup, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3224 Kennsington Square Rd, Sturtevant, WI 53177 Phone: 262-762-9284 Fax: 262-419-3818 | |
Jeanie Marie Kramer I, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2019 Wisconsin St, Sturtevant, WI 53177 Phone: 608-249-9931 | |
Jordan Jon Stensgard, MSN, APNP, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8311 16th St, Sturtevant, WI 53177 Phone: 262-260-3671 Fax: 262-260-5013 |