Provider Demographics
NPI:1689982340
Name:DUBE, GUIRLENE M (RN)
Entity Type:Individual
Prefix:MS
First Name:GUIRLENE
Middle Name:M
Last Name:DUBE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:GUIRLENE
Other - Middle Name:M
Other - Last Name:DUBE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:761 GLOVER PL
Mailing Address - Street 2:
Mailing Address - City:BALDWIN
Mailing Address - State:NY
Mailing Address - Zip Code:11510-3506
Mailing Address - Country:US
Mailing Address - Phone:516-808-2936
Mailing Address - Fax:516-960-9345
Practice Address - Street 1:211 BROADWAY STE 301
Practice Address - Street 2:
Practice Address - City:LYNBROOK
Practice Address - State:NY
Practice Address - Zip Code:11563-3290
Practice Address - Country:US
Practice Address - Phone:516-717-1444
Practice Address - Fax:516-960-9345
Is Sole Proprietor?:No
Enumeration Date:2010-09-15
Last Update Date:2010-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY500521-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse