MEDICARE: CECILLE GUARINO NURSE PRACTITIONER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LW0102X	Women's Health Nurse Practitioner	7354	CA

General Provider Information

NPI Number	:	1902862196
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CECILLE GUARINO NURSE PRACTITIONER

Provider Business Mailing Address
First Line	:	2648 INTERNATIONAL BLVD
Second Line	:	SUITE 7
City	:	OAKLAND
State	:	CA
Zip	:	94601-1506
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5925 W LAS POSITAS BLVD
Second Line	:
City	:	PLEASANTON
State	:	CA
Zip	:	94588-8537
Country	:	US
Telephone Number	:	925-462-1755
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/25/2006
Last Update Date	:	03/17/2018

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