Provider Demographics
NPI:1275150708
Name:GUITIAN, CATHERINE NICOLE
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:NICOLE
Last Name:GUITIAN
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 1:13715 SW 66TH ST APT A-211
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33183-2399
Mailing Address - Country:US
Mailing Address - Phone:786-385-6662
Mailing Address - Fax:
Practice Address - Street 1:13715 SW 66TH ST APT A-211
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33183-2399
Practice Address - Country:US
Practice Address - Phone:786-385-6662
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-01
Last Update Date:2020-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9434724163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse