Provider Demographics
NPI:1528148871
Name:GUERIN, CORI LYNN (RN, CPNP)
Entity type:Individual
Prefix:
First Name:CORI
Middle Name:LYNN
Last Name:GUERIN
Suffix:
Gender:F
Credentials:RN, CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6550 FANNIN ST STE 2001
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2709
Mailing Address - Country:US
Mailing Address - Phone:713-796-2304
Mailing Address - Fax:
Practice Address - Street 1:6550 FANNIN ST STE 2001
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2709
Practice Address - Country:US
Practice Address - Phone:713-796-2304
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2016-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX651544363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX171192101Medicaid
Q35816Medicare UPIN
TX171192101Medicaid
TX8D2139Medicare PIN