MEDICARE: ROSENDA GUINTO RN

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	163W00000X	Registered Nurse	623219	PA

General Provider Information

NPI Number	:	1841532306
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSENDA GUINTO RN

Provider Business Mailing Address
First Line	:	16227 STATE ROUTE 37 E
Second Line	:
City	:	CORNING
State	:	OH
Zip	:	43730-9740
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	16227 STATE ROUTE 37 E
Second Line	:
City	:	CORNING
State	:	OH
Zip	:	43730-9740
Country	:	US
Telephone Number	:	610-560-9983
Fax Number	:

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

Provider Enumeration Date	:	03/22/2013
Last Update Date	:	04/08/2021

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