Provider Demographics
NPI:1841465838
Name:MORALES, GUADALUPE DE GUZMAN (RN)
Entity type:Individual
Prefix:MS
First Name:GUADALUPE
Middle Name:DE GUZMAN
Last Name:MORALES
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1222 STONE RIDGE DR
Mailing Address - Street 2:APT. D.
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43213-4125
Mailing Address - Country:US
Mailing Address - Phone:614-596-3160
Mailing Address - Fax:
Practice Address - Street 1:1222 STONE RIDGE DR
Practice Address - Street 2:APT. D.
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43213-4125
Practice Address - Country:US
Practice Address - Phone:614-596-3160
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-29
Last Update Date:2008-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH322234163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical