Basic Information
Provider Information
NPI: 1629131081
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GUARINO
FirstName: CINDY
MiddleName: A
NamePrefix:  
NameSuffix:  
Credential: RN
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 38 BREWSTER RD
Address2:  
City: W BRIDGEWATER
State: MA
PostalCode: 02379
CountryCode: US
TelephoneNumber: 5082451872
FaxNumber:  
Practice Location
Address1: 1115 W CHESTNUT ST
Address2:  
City: BROCKTON
State: MA
PostalCode: 02301
CountryCode: US
TelephoneNumber: 5085590473
FaxNumber: 5084275361
Other Information
ProviderEnumerationDate: 12/18/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163W00000X236811MAY Nursing Service ProvidersRegistered Nurse 

No ID Information.


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