Provider Demographics
NPI:1689153272
Name:GUERRERO, BEATRICE (LVN)
Entity Type:Individual
Prefix:
First Name:BEATRICE
Middle Name:
Last Name:GUERRERO
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:728 GREER ST
Mailing Address - Street 2:
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76710-4628
Mailing Address - Country:US
Mailing Address - Phone:254-366-3932
Mailing Address - Fax:
Practice Address - Street 1:728 GREER ST
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76710-4628
Practice Address - Country:US
Practice Address - Phone:254-366-3932
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-14
Last Update Date:2019-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health