Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Vidmar Ivan Carrillo Guzman

Individual provider Family Nurse Practitioner · NPI 1780517375

Vidmar Ivan Carrillo Guzman is a Family Nurse Practitioner in Georgetown, Delaware. Practices as a sole proprietor and works from 2 locations. Licensed in Delaware.

Licensed in
DE
In the registry since
2026

Practice location Address checks out

21444 Carmean Way
Georgetown, DE 19947-4572
Phone: (302) 855-1233
Fax: (302) 654-1061
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 21 W Clarke Ave Ste 1001, Milford, DE 19963-1849 — (302) 855-1233

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence LG-0013919 (DE)

Record details

NPI number1780517375
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 4, 2026
Last updated in NPPESJune 4, 2026
Certification dateJune 4, 2026
Mailing address21444 Carmean Way, Georgetown, DE 19947-4572

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