Doctor Name: | MRS. MICHELLE ELAINE GUIDICE |
NPI Number: | 1043587900 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 22 620440 |
Business Practice Address: | 119 South Ave Webster, NY - 145803559 |
Business Phone Number: | 5852163600 |
Business Fax Number: | 5852656571 |
Mailing Address: | 119 South Ave, WEBSTER |
State: | NY |
Postal Code: | 145803559 |
Phone Number: | 5852163600 |
Fax Number: | 5852656571 |
NPI Enumeration Date: | 11/21/2011 |
NPI Last Update Date: | 11/21/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WS0200X |
License Number: | 22 620440 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | School |
Taxonomy Definition: |