Provider Demographics
NPI:1255589453
Name:GUIEL, OFELIA ISENIA (CUA)
Entity type:Individual
Prefix:MRS
First Name:OFELIA
Middle Name:ISENIA
Last Name:GUIEL
Suffix:
Gender:F
Credentials:CUA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 211029
Mailing Address - Street 2:CHRISTIAN COTTAGE ASSISTED LIVING
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99521
Mailing Address - Country:US
Mailing Address - Phone:907-333-0556
Mailing Address - Fax:907-339-0430
Practice Address - Street 1:8301 E 11TH COURT
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99504
Practice Address - Country:US
Practice Address - Phone:907-333-0556
Practice Address - Fax:907-339-0430
Is Sole Proprietor?:No
Enumeration Date:2008-09-03
Last Update Date:2008-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK3992376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKRL23732OtherCHOICE WAIVER FIRST HEALTH