Healthcare Provider Details

I. General information

NPI: 1386732329
Provider Name (Legal Business Name): KAREN EMMA GUIOU FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/11/2006
Last Update Date: 04/27/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24 GARDINER ST
RICHMOND ME
04357-1336
US

IV. Provider business mailing address

24 GARDINER ST
RICHMOND ME
04357-1336
US

V. Phone/Fax

Practice location:
  • Phone: 207-737-4359
  • Fax: 207-737-4412
Mailing address:
  • Phone: 207-737-4359
  • Fax: 207-737-4412

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberR021563
License Number StateME
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP081028
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: