Provider Demographics
NPI:1245858984
Name:MCGUIRE, KATHERINE RENEE (APRN)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:RENEE
Last Name:MCGUIRE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:319 ROBERTSON RD
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:SC
Mailing Address - Zip Code:29621-5216
Mailing Address - Country:US
Mailing Address - Phone:864-245-4397
Mailing Address - Fax:
Practice Address - Street 1:10 FINANCIAL BLVD
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:SC
Practice Address - Zip Code:29621-1770
Practice Address - Country:US
Practice Address - Phone:864-437-8930
Practice Address - Fax:864-659-8282
Is Sole Proprietor?:No
Enumeration Date:2020-07-09
Last Update Date:2022-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC235622163W00000X
SC25736363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse