Provider Demographics
NPI:1699855080
Name:GUERRERO, CARLOS A (FNP)
Entity Type:Individual
Prefix:MR
First Name:CARLOS
Middle Name:A
Last Name:GUERRERO
Suffix:
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44725 10TH ST W STE 220
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93534-3048
Mailing Address - Country:US
Mailing Address - Phone:661-726-3750
Mailing Address - Fax:661-726-5013
Practice Address - Street 1:44725 10TH ST W STE 220
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534-3048
Practice Address - Country:US
Practice Address - Phone:661-726-3750
Practice Address - Fax:661-726-5013
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP 8934363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPA-C 14013OtherPA-C CERTIFICATE
CANP 8934OtherFNP CERTIFICATE
CARN 475753OtherRN LICENSE