Provider Demographics
NPI:1487896445
Name:JOSEPH, GUERLY (RN)
Entity type:Individual
Prefix:
First Name:GUERLY
Middle Name:
Last Name:JOSEPH
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 NOTTINGHAM ST
Mailing Address - Street 2:
Mailing Address - City:DORCHESTER
Mailing Address - State:MA
Mailing Address - Zip Code:02121-3818
Mailing Address - Country:US
Mailing Address - Phone:617-606-0358
Mailing Address - Fax:
Practice Address - Street 1:32 NOTTINGHAM ST
Practice Address - Street 2:
Practice Address - City:DORCHESTER
Practice Address - State:MA
Practice Address - Zip Code:02121-3818
Practice Address - Country:US
Practice Address - Phone:617-606-0358
Practice Address - Fax:617-442-9330
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-06
Last Update Date:2016-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA252028163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse