Healthcare Provider Details

I. General information

NPI: 1306949292
Provider Name (Legal Business Name): ANN M. GUERRIERI-MARSH M.S.N.,APRN,BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/06/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7400 MERTON MINTER BOULEVARD STVHCS (118) NURSING SERVICE
SAN ANTONIO TX
78229-4404
US

IV. Provider business mailing address

7400 MERTON MINTER BOULEVARD STVHCS (118) NURSING SERVICE
SAN ANTONIO TX
78229-4404
US

V. Phone/Fax

Practice location:
  • Phone: 210-617-5300
  • Fax: 210-321-2728
Mailing address:
  • Phone: 210-617-5300
  • Fax: 210-321-2728

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number212067L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: