Provider Demographics
NPI:1235418062
Name:GUELDE, CHRISTINE MARIE
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:MARIE
Last Name:GUELDE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 96
Mailing Address - Street 2:
Mailing Address - City:STORY
Mailing Address - State:WY
Mailing Address - Zip Code:82842-0096
Mailing Address - Country:US
Mailing Address - Phone:307-763-1258
Mailing Address - Fax:307-683-3086
Practice Address - Street 1:106 FISH HATCHERY RD.
Practice Address - Street 2:
Practice Address - City:STORY
Practice Address - State:WY
Practice Address - Zip Code:82842
Practice Address - Country:US
Practice Address - Phone:307-763-1258
Practice Address - Fax:307-683-3086
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-10
Last Update Date:2011-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator