Tabatha Guerrido, is a
Licensed Practical Nurse based in Waite Park, Minnesota. Tabatha Guerrido is licensed to practice in Minnesota (license number 164W00000X) and her current practice location is
481 2nd Ave S, Waite Park, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(320) 443-3684.
NPI number for Tabatha Guerrido is 1073046355 and her current mailing address is 481 2nd Ave S, Waite Park, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1073046355.
Provider's Profile
| Full Name | Tabatha Guerrido |
|---|
| Gender | Female |
|---|
| Speciality | Licensed Practical Nurse |
|---|
| Location | 481 2nd Ave S, Waite Park, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1073046355
- Provider Enumeration Date: 04/04/2017
- Last Update Date: 04/04/2017
Medical Identifiers
Medical identifiers for Tabatha Guerrido such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073046355 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 164W00000X (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tabatha Guerrido is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Tabatha Guerrido,
481 2nd Ave S,
Waite Park, MN 56387-1403
Ph: (320) 443-3684 | Tabatha Guerrido,
481 2nd Ave S,
Waite Park, MN 56387-1403
Ph: (320) 443-3684 |
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