Provider Demographics
NPI:1427024413
Name:GUSZICK, LOUISE MARIE (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:LOUISE
Middle Name:MARIE
Last Name:GUSZICK
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:MISS
Other - First Name:LOUISE
Other - Middle Name:MARIE
Other - Last Name:SICCARDI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:410 LAKE SPANGENBERG RD
Mailing Address - Street 2:
Mailing Address - City:LAKE ARIEL
Mailing Address - State:PA
Mailing Address - Zip Code:18436-5018
Mailing Address - Country:US
Mailing Address - Phone:570-689-7280
Mailing Address - Fax:
Practice Address - Street 1:1302 LEE AVE
Practice Address - Street 2:CAMP SHELBY MEDICAL SOLDIERS READINESS PROCESSING CENTE
Practice Address - City:HATTIESBURG
Practice Address - State:MS
Practice Address - Zip Code:39401
Practice Address - Country:US
Practice Address - Phone:601-558-4483
Practice Address - Fax:601-558-4498
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAUP000313B363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily