Healthcare Provider Details

I. General information

NPI: 1326888157
Provider Name (Legal Business Name): ALISON GUZMAN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/29/2024
Last Update Date: 05/29/2024
Certification Date: 05/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1940 W BALTIMORE ST
BALTIMORE MD
21223-2245
US

IV. Provider business mailing address

1940 W BALTIMORE ST
BALTIMORE MD
21223-2245
US

V. Phone/Fax

Practice location:
  • Phone: 410-362-3516
  • Fax:
Mailing address:
  • Phone: 410-362-3516
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberR241399
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: