Provider Demographics
NPI:1831604420
Name:GUARINO, NICOLE LYNN (DC)
Entity type:Individual
Prefix:DR
First Name:NICOLE
Middle Name:LYNN
Last Name:GUARINO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:OLIE
Other - Middle Name:
Other - Last Name:BENNETT GUARINO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:201 N BRADDOCK AVE RM 130
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15208-2598
Mailing Address - Country:US
Mailing Address - Phone:412-444-8464
Mailing Address - Fax:
Practice Address - Street 1:201 N BRADDOCK AVE RM 130
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15208-2598
Practice Address - Country:US
Practice Address - Phone:412-444-8464
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-12-05
Last Update Date:2024-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC010952111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor