Healthcare Provider Details

I. General information

NPI: 1831137561
Provider Name (Legal Business Name): VILMA GUEVARA FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2006
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

112 WASHINGTON ST
CENTRAL FALLS RI
02863-2232
US

IV. Provider business mailing address

PO BOX 16008
PITTSBURGH PA
15242-0008
US

V. Phone/Fax

Practice location:
  • Phone: 401-727-7726
  • Fax: 412-920-5861
Mailing address:
  • Phone: 412-929-0249
  • Fax: 412-920-5861

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN40141
License Number StateRI
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN03095
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: