Provider Demographics
NPI:1831257542
Name:GUERRA, CHRISTINE ELIZABETH (RN)
Entity type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:ELIZABETH
Last Name:GUERRA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:CHRISTINE
Other - Middle Name:ELIZABETH
Other - Last Name:MOBLEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:36000 DARNALL LOOP
Mailing Address - Street 2:CARL R DARNALL ARMY MEDICAL CENTER
Mailing Address - City:FORT HOOD
Mailing Address - State:TX
Mailing Address - Zip Code:76544
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:CR DARNALL ARMY MEDICAL CENTER
Practice Address - Street 2:BLDG 36000 GEN SURG UROL CLINIC
Practice Address - City:FORT HOOD
Practice Address - State:TX
Practice Address - Zip Code:72544
Practice Address - Country:US
Practice Address - Phone:254-288-8048
Practice Address - Fax:254-288-8775
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX589019163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse