Provider Demographics
NPI:1831488840
Name:JOSEPH, GUERDY MARIE (RN)
Entity Type:Individual
Prefix:MRS
First Name:GUERDY
Middle Name:MARIE
Last Name:JOSEPH
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 1:22 UNION AVE
Mailing Address - Street 2:
Mailing Address - City:BALA CYNWYD
Mailing Address - State:PA
Mailing Address - Zip Code:19004-3167
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:888-316-2748
Practice Address - Street 1:22 UNION AVE
Practice Address - Street 2:
Practice Address - City:BALA CYNWYD
Practice Address - State:PA
Practice Address - Zip Code:19004-3101
Practice Address - Country:US
Practice Address - Phone:484-436-2852
Practice Address - Fax:866-304-0901
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-30
Last Update Date:2015-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY22670263163WC1500X
PARN665175163WC1500X
PAPN279048164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health