Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | APN001318 | NV |
NPI | 1356625131 |
---|---|
Provider Name | Natalie M Guevara |
First Address | Pasadena, CA 91199-0001 |
Second Address | Las Vegas, NV 89148-5613 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/09/2011 |
Last Update Date | 04/06/2013 |