Provider Demographics
NPI:1790516425
Name:GUINN, SHIRLEY ANN
Entity type:Individual
Prefix:
First Name:SHIRLEY
Middle Name:ANN
Last Name:GUINN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:187 GLENN ST APT B
Mailing Address - Street 2:
Mailing Address - City:FROSTBURG
Mailing Address - State:MD
Mailing Address - Zip Code:21532-2422
Mailing Address - Country:US
Mailing Address - Phone:301-876-8839
Mailing Address - Fax:
Practice Address - Street 1:187 GLENN ST APT B
Practice Address - Street 2:
Practice Address - City:FROSTBURG
Practice Address - State:MD
Practice Address - Zip Code:21532-2422
Practice Address - Country:US
Practice Address - Phone:301-876-8839
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-13
Last Update Date:2024-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant