Provider Demographics
NPI:1174792329
Name:GUERRETTE, KATHERINE M (LPN)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:M
Last Name:GUERRETTE
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:67 CYNTHIA LN
Mailing Address - Street 2:
Mailing Address - City:AMESBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01913-1018
Mailing Address - Country:US
Mailing Address - Phone:978-388-4992
Mailing Address - Fax:978-750-4066
Practice Address - Street 1:5 BRIDLE SPUR LN
Practice Address - Street 2:
Practice Address - City:DANVERS
Practice Address - State:MA
Practice Address - Zip Code:01923-1262
Practice Address - Country:US
Practice Address - Phone:978-774-3374
Practice Address - Fax:978-750-4066
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-21
Last Update Date:2008-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA41564164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse