Provider Demographics
NPI:1114655099
Name:LAURIUS, GUERLINE ROSE LAUNA (RN)
Entity Type:Individual
Prefix:
First Name:GUERLINE
Middle Name:ROSE LAUNA
Last Name:LAURIUS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18832 SW 318TH TER
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33030-5502
Mailing Address - Country:US
Mailing Address - Phone:786-281-7111
Mailing Address - Fax:
Practice Address - Street 1:18832 SW 318TH TER
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33030-5502
Practice Address - Country:US
Practice Address - Phone:786-281-7111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-09
Last Update Date:2022-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9340204163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NONEOtherNONE