Healthcare Provider Details

I. General information

NPI: 1902796642
Provider Name (Legal Business Name): KATHRYN GUZOWSKI RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KATHRYN SHEFFIELD

II. Dates (important events)

Enumeration Date: 07/05/2025
Last Update Date: 07/05/2025
Certification Date: 07/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 S 5TH AVE
YAKIMA WA
98902-3550
US

IV. Provider business mailing address

4302 BARGE ST
YAKIMA WA
98908-3240
US

V. Phone/Fax

Practice location:
  • Phone: 509-573-6216
  • Fax:
Mailing address:
  • Phone: 530-351-1181
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN60711138
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: