Provider Demographics
NPI:1205576550
Name:GUERRERO, TAMI ALEEN
Entity type:Individual
Prefix:
First Name:TAMI
Middle Name:ALEEN
Last Name:GUERRERO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:441 W 2ND ST APT 6
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89503-5325
Mailing Address - Country:US
Mailing Address - Phone:775-857-5419
Mailing Address - Fax:
Practice Address - Street 1:441 W 2ND ST APT 6
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89503-5325
Practice Address - Country:US
Practice Address - Phone:775-857-5419
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-01
Last Update Date:2022-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide