Provider Demographics
NPI:1003623588
Name:GUESFORD, JOSHUA MICHAEL SR (RN)
Entity type:Individual
Prefix:MR
First Name:JOSHUA
Middle Name:MICHAEL
Last Name:GUESFORD
Suffix:SR
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4703 MOUNT BAKER LOOP
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:WA
Mailing Address - Zip Code:98273-9439
Mailing Address - Country:US
Mailing Address - Phone:360-708-1330
Mailing Address - Fax:
Practice Address - Street 1:738 134TH ST SW
Practice Address - Street 2:UNIT 203
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98204
Practice Address - Country:US
Practice Address - Phone:425-745-4345
Practice Address - Fax:425-742-3628
Is Sole Proprietor?:No
Enumeration Date:2024-12-17
Last Update Date:2024-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN0154101163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health