Healthcare Provider Details

I. General information

NPI: 1194473942
Provider Name (Legal Business Name): KATELYN MARIE GUAGENTI FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/11/2022
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2335 BATON ROUGE
LIMA OH
45805-1129
US

IV. Provider business mailing address

2335 BATON ROUGE
LIMA OH
45805-1129
US

V. Phone/Fax

Practice location:
  • Phone: 419-905-6485
  • Fax:
Mailing address:
  • Phone: 419-905-6485
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN.0997380-NP
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPN.0997380-NP
License Number StateCO
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.NP.0040429
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: