Provider Demographics
NPI:1386732329
Name:GUIOU, KAREN EMMA (FNP)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:EMMA
Last Name:GUIOU
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 GARDINER ST
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:ME
Mailing Address - Zip Code:04357-1336
Mailing Address - Country:US
Mailing Address - Phone:207-737-4359
Mailing Address - Fax:207-737-4412
Practice Address - Street 1:24 GARDINER ST
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:ME
Practice Address - Zip Code:04357-1336
Practice Address - Country:US
Practice Address - Phone:207-737-4359
Practice Address - Fax:207-737-4412
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2010-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MER021563363LA2200X
MEAP081028363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME154170000Medicaid
ME0018296OtherANTHEM BCBS OF ME
ME154170000Medicaid
ME0018296OtherANTHEM BCBS OF ME