Provider Demographics
NPI:1447219159
Name:MCGUY, KARLA ROSE (RN)
Entity Type:Individual
Prefix:MRS
First Name:KARLA
Middle Name:ROSE
Last Name:MCGUY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MISS
Other - First Name:KARLA
Other - Middle Name:ROSE
Other - Last Name:IAMPIETRO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:16 FOLLETT ST
Mailing Address - Street 2:
Mailing Address - City:ATTLEBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02703
Mailing Address - Country:US
Mailing Address - Phone:401-246-1195
Mailing Address - Fax:401-246-1311
Practice Address - Street 1:2 OLD COUNTY RD
Practice Address - Street 2:EAST BAY MENTAL HEALTH CENTER
Practice Address - City:BARRINGTON
Practice Address - State:RI
Practice Address - Zip Code:02806
Practice Address - Country:US
Practice Address - Phone:401-246-1195
Practice Address - Fax:401-246-1311
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIRN38280163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
RIKM58168Medicaid