Healthcare Provider Details

I. General information

NPI: 1073196713
Provider Name (Legal Business Name): GUYLENE MAGUETGI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/30/2021
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1809 MOUNT PISGAH LN APT 21
SILVER SPRING MD
20903-2152
US

IV. Provider business mailing address

1809 MOUNT PISGAH LN APT 21
SILVER SPRING MD
20903-2152
US

V. Phone/Fax

Practice location:
  • Phone: 202-210-2911
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: