Guerrero, Nicole Renee

Guerrero, Nicole Renee is an individual health care provider with primary practice located at 1390 Us Highway 61 Ste N1500 , Festus MO 63028-4137. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Guerrero, Nicole Renee can be contacted via phone (636) 937-8675.

Contact Information

Primary practice address
1390 Us Highway 61 Ste N1500 Festus MO 63028-4137
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X RN147100 Missouri

Profile Details

NPI number 1558490383
LBN Legal business name Guerrero, Nicole Renee
Credentials ANP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2007
Last updated Oct 27th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558490383 NPPES
Missouri MEDICAID 1558490383

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