Provider Demographics
NPI:1669555686
Name:GUERRIER, SHAWNTAE AKILA (HS1)
Entity type:Individual
Prefix:MRS
First Name:SHAWNTAE
Middle Name:AKILA
Last Name:GUERRIER
Suffix:
Gender:F
Credentials:HS1
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4605 PATRICK HENRY CIR UNIT A
Mailing Address - Street 2:
Mailing Address - City:SCOTT AFB
Mailing Address - State:IL
Mailing Address - Zip Code:62225-6206
Mailing Address - Country:US
Mailing Address - Phone:305-721-7675
Mailing Address - Fax:
Practice Address - Street 1:1222 SPRUCE ST
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63103-2818
Practice Address - Country:US
Practice Address - Phone:314-269-2374
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1710I1002XOther Service ProvidersMilitary Health Care ProviderIndependent Duty Corpsman
No246Y00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Health Information