Guicho, Kathleen M
Guicho, Kathleen M is an individual health care provider with primary practice located at 2 Essex Center Dr , Peabody MA 01960-2902. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Guicho, Kathleen M can be contacted via phone (978) 977-4000.Contact Information
Primary practice address
2 Essex Center Dr
Peabody MA 01960-2902
Phone: (978) 977-4000
Fax: (978) 977-4275
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 121511 | Massachusetts |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 121511 | Massachusetts |
Profile Details
NPI number | 1174583785 |
---|---|
LBN Legal business name | Guicho, Kathleen M |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 27th, 2006 |
Last updated | Oct 27th, 2020 - about 4 years ago |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1174583785 | NPPES |
Massachusetts | MEDICAID | 0356981 | |
Massachusetts | Other | NP1341 | |
Massachusetts | Other | N599 |
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