Provider Demographics
NPI:1215595558
Name:GUERRERO, DENIA (LPN)
Entity type:Individual
Prefix:
First Name:DENIA
Middle Name:
Last Name:GUERRERO
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:N2695 SUNSET PARK DR
Mailing Address - Street 2:
Mailing Address - City:LAKE GENEVA
Mailing Address - State:WI
Mailing Address - Zip Code:53147-3467
Mailing Address - Country:US
Mailing Address - Phone:262-755-0747
Mailing Address - Fax:
Practice Address - Street 1:N2695 SUNSET PARK DR
Practice Address - Street 2:
Practice Address - City:LAKE GENEVA
Practice Address - State:WI
Practice Address - Zip Code:53147-3467
Practice Address - Country:US
Practice Address - Phone:262-755-0747
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-02
Last Update Date:2019-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI320152-31164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse