Provider Demographics
NPI:1093000648
Name:GUILMAIN, KATHLEEN ANNE (APRN GNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:KATHLEEN
Middle Name:ANNE
Last Name:GUILMAIN
Suffix:
Gender:F
Credentials:APRN GNP-BC
Other - Prefix:
Other - First Name:
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Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3086 GLOVER ST
Mailing Address - Street 2:
Mailing Address - City:GLOVER
Mailing Address - State:VT
Mailing Address - Zip Code:05839-9701
Mailing Address - Country:US
Mailing Address - Phone:802-525-6600
Mailing Address - Fax:802-525-6952
Practice Address - Street 1:299 COUNTRY LAND DR
Practice Address - Street 2:
Practice Address - City:NORTH HAVERHILL
Practice Address - State:NH
Practice Address - Zip Code:03774-5812
Practice Address - Country:US
Practice Address - Phone:603-747-4161
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-12
Last Update Date:2019-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT101.0134284363LG0600X
NH056501-23363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology