Thara L Guillory
Thara L Guillory is a Nurse Practitioner in Avenel, New Jersey. Qualified in 2025, 1 year ago. Licensed in Florida and New York.
- Years since qualifying
- 1
- Licensed in
- FL, NY
- In the registry since
- 2025
- Specialties on file
- 3
Practice location Address checks out
1300 Station Dr Apt 1303Avenel, NJ 07001-1869
Phone: (386) 868-9658
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Health Nurse Practitioner (primary) | Taxonomy 363LA2200X · Licence RN9573108 (FL) |
|---|---|
| Registered Nurse First Assistant | Taxonomy 163WR0006X · Licence RN9573108 (FL) |
| Adult Health Nurse Practitioner | Taxonomy 363LA2200X · Licence N10571 (NY) |
Record details
| NPI number | 1083581490 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | October 21, 2025 |
| Last updated in NPPES | October 21, 2025 |
| Certification date | October 21, 2025 |
| Mailing address | 1300 Station Dr Apt 1303, Avenel, NJ 07001-1869 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2025 (1 years in practice) |
| Accepts Medicare assignment | Not indicated |
Other providers in Avenel
-
Brigitte Rnfa LLC
58 Burnet St, Avenel, NJ 07001-1726 · (732) 713-2909
-
Brigida De Guzman Santiago, RNFA
58 Burnet St, Avenel, NJ 07001-1726 · (732) 713-2909