MEDICARE: KIANA ALEXANDRA GUERRERO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1548119951
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIANA ALEXANDRA GUERRERO

Provider Business Mailing Address
First Line	:	2390 E CAMELBACK RD STE 1302025
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85016-3448
Country	:	US
Telephone Number	:	602-737-0787
Fax Number	:	602-818-3188

Provider Business Practice Location Address
First Line	:	2390 E CAMELBACK RD STE 1302025
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85016-3448
Country	:	US
Telephone Number	:	602-737-0787
Fax Number	:	602-818-3188

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/27/2026
Last Update Date	:	01/27/2026

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