Provider Demographics
NPI:1962854885
Name:SPEAKER, KATHERINE GUICHET (NP-C)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:GUICHET
Last Name:SPEAKER
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:KATHERINE
Other - Middle Name:LEIGH
Other - Last Name:GUICHET
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:952 GREEN MEADOW RD
Mailing Address - Street 2:
Mailing Address - City:BAY ST LOUIS
Mailing Address - State:MS
Mailing Address - Zip Code:39520-1620
Mailing Address - Country:US
Mailing Address - Phone:228-463-1649
Mailing Address - Fax:228-463-0138
Practice Address - Street 1:952 GREEN MEADOW RD
Practice Address - Street 2:
Practice Address - City:BAY ST LOUIS
Practice Address - State:MS
Practice Address - Zip Code:39520-1620
Practice Address - Country:US
Practice Address - Phone:228-463-1649
Practice Address - Fax:228-463-0138
Is Sole Proprietor?:No
Enumeration Date:2016-07-02
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALF0316690363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily