Thara L Guillory
Nurse Practitioner, Gerontology in Avenel, New Jersey
1083581490- Practice location
- 1300 Station Dr Apt 1303, Avenel, NJ 07001-1869
- Phone
- 386-868-9658
- Fax
- —
- Last updated
- August 25, 2026
Thara L Guillory is a Nurse Practitioner, Gerontology based in Avenel, NJ. Thara L Guillory practices in Avenel, NJ. The NPI Number for Thara L Guillory is 1083581490 and holds a License No. N10571 (NY). The current practice location address for Thara L Guillory is 1300 Station Dr Apt 1303, Avenel, NJ 07001-1869 and can be reached out via phone at 386-868-9658.
Provider Profile Details
- NPI Number
- 1083581490
- Provider Name
- Thara L Guillory
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1300 Station Dr Apt 1303, Avenel, NJ 07001-1869
- Phone Number
- 386-868-9658
- Primary Taxonomy
- Nurse Practitioner, Gerontology · 363LG0600X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 21, 2025
- Last Update Date
- August 25, 2026
- Certification Date
- August 25, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1300 Station Dr Apt 1303
Avenel, NJ 07001-1869 - City
- Avenel
- State
- New Jersey
- Zip
- 07001-1869
- Phone Number
- 386-868-9658
Provider Business Mailing Address Details
- Address
- 1300 Station Dr Apt 1303
Avenel, NJ 07001-1869 - City
- Avenel
- State
- NJ
- Zip
- 07001-1869
- Phone Number
- 386-868-9658
License Information
- License Number (1)
- N10571
- License State (1)
- NY
- Taxonomy (1)
- Nurse Practitioner, Adult Health · 363LA2200X
- License Number (2)
- RN9573108
- License State (2)
- FL
- Taxonomy (2)
- Nurse Practitioner, Adult Health · 363LA2200X
- License Number (3)
- RN9573108
- License State (3)
- FL
- Taxonomy (3)
- Registered Nurse, Registered Nurse First Assistant · 163WR0006X
- License Number (4)
- 26NJ15465900
- License State (4)
- NJ
- Taxonomy (4)
- Nurse Practitioner, Gerontology · 363LG0600X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Thara L Guillory?
The NPI number of Thara L Guillory is 1083581490. It was assigned on October 21, 2025 and is currently active in the NPPES registry.
What is the specialty of Thara L Guillory?
Thara L Guillory is registered under the primary taxonomy Nurse Practitioner, Gerontology (code 363LG0600X), licensed in NY under license number N10571.
Where does Thara L Guillory practice?
The practice location is 1300 Station Dr Apt 1303, Avenel, NJ 07001-1869. The office can be reached at 386-868-9658 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1083581490 directly on the NPPES registry website.