Provider Demographics
NPI:1295281848
Name:GUIRGUIS, ABBY LEIGH (APRN-CNP)
Entity type:Individual
Prefix:
First Name:ABBY
Middle Name:LEIGH
Last Name:GUIRGUIS
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:ABBY
Other - Middle Name:LEIGH
Other - Last Name:HARLAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN-CNP
Mailing Address - Street 1:1971 DATURA ST
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34239-3818
Mailing Address - Country:US
Mailing Address - Phone:740-704-6574
Mailing Address - Fax:
Practice Address - Street 1:1971 DATURA ST
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-3818
Practice Address - Country:US
Practice Address - Phone:740-704-6574
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-01
Last Update Date:2022-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF348934363LF0000X
OHAPRNCNP19154363LF0000X
MI4704380253363LF0000X
IL209024341363LF0000X
FLAPRN11007398363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily