Provider Demographics
NPI:1821158783
Name:QUE, GUINEVERE T (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:MRS
First Name:GUINEVERE
Middle Name:T
Last Name:QUE
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2141 K STREET
Mailing Address - Street 2:SUITE 600
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20037
Mailing Address - Country:US
Mailing Address - Phone:202-808-8295
Mailing Address - Fax:202-808-8296
Practice Address - Street 1:2141 K STREET
Practice Address - Street 2:SUITE 600
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037
Practice Address - Country:US
Practice Address - Phone:202-808-8295
Practice Address - Fax:202-808-8296
Is Sole Proprietor?:No
Enumeration Date:2006-12-11
Last Update Date:2018-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCRN65000363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC034006400Medicaid