Provider Demographics
NPI:1932839933
Name:GUTHRIE-NOEL, VERENE DENISE (APRN)
Entity Type:Individual
Prefix:MRS
First Name:VERENE
Middle Name:DENISE
Last Name:GUTHRIE-NOEL
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:VERENE
Other - Middle Name:DENISE
Other - Last Name:EVANS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:45 KATHRYN DR
Mailing Address - Street 2:
Mailing Address - City:BRIDGEPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06610-1263
Mailing Address - Country:US
Mailing Address - Phone:203-809-6595
Mailing Address - Fax:
Practice Address - Street 1:300 SEASIDE AVE
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:CT
Practice Address - Zip Code:06460-4603
Practice Address - Country:US
Practice Address - Phone:203-876-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-13
Last Update Date:2022-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT10400363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily