Provider Demographics
NPI:1225303084
Name:GUERRA, MARGARET (RN)
Entity Type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:
Last Name:GUERRA
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 1:3040 ROBERTS AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-5111
Mailing Address - Country:US
Mailing Address - Phone:718-822-5351
Mailing Address - Fax:718-239-3111
Practice Address - Street 1:3040 ROBERTS AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-5111
Practice Address - Country:US
Practice Address - Phone:718-822-5351
Practice Address - Fax:718-239-3111
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-13
Last Update Date:2012-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY208107163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool