Provider Demographics
NPI:1598104333
Name:GUETSCHOW, SARAH ANN (RN)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:ANN
Last Name:GUETSCHOW
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 1:2301 E MICHIGAN AVE
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MI
Mailing Address - Zip Code:49202-3700
Mailing Address - Country:US
Mailing Address - Phone:517-784-6729
Mailing Address - Fax:517-784-7546
Practice Address - Street 1:101 SPRING ST
Practice Address - Street 2:
Practice Address - City:HILLSDALE
Practice Address - State:MI
Practice Address - Zip Code:49242-1160
Practice Address - Country:US
Practice Address - Phone:517-437-0114
Practice Address - Fax:517-437-0033
Is Sole Proprietor?:No
Enumeration Date:2013-06-14
Last Update Date:2013-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704163866163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult