Provider Demographics
NPI:1447829585
Name:VANHORNE, GUINEVERE ARTHUR (PA-C)
Entity type:Individual
Prefix:
First Name:GUINEVERE ARTHUR
Middle Name:
Last Name:VANHORNE
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 WHITE LOAF RD
Mailing Address - Street 2:
Mailing Address - City:SOUTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01073-9550
Mailing Address - Country:US
Mailing Address - Phone:413-333-7295
Mailing Address - Fax:
Practice Address - Street 1:470 GRANBY RD
Practice Address - Street 2:
Practice Address - City:SOUTH HADLEY
Practice Address - State:MA
Practice Address - Zip Code:01075-3218
Practice Address - Country:US
Practice Address - Phone:413-533-3926
Practice Address - Fax:413-794-8732
Is Sole Proprietor?:No
Enumeration Date:2021-06-23
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPA8192207RC0000X, 363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease