Provider Demographics
NPI:1972840890
Name:GUERRIER, ANDERSON LOUISVILLE (LPN)
Entity type:Individual
Prefix:
First Name:ANDERSON
Middle Name:LOUISVILLE
Last Name:GUERRIER
Suffix:
Gender:M
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:141 ASBURY AVE
Mailing Address - Street 2:
Mailing Address - City:WESTBURY
Mailing Address - State:NY
Mailing Address - Zip Code:11590-2016
Mailing Address - Country:US
Mailing Address - Phone:516-236-4876
Mailing Address - Fax:
Practice Address - Street 1:141 ASBURY AVE
Practice Address - Street 2:
Practice Address - City:WESTBURY
Practice Address - State:NY
Practice Address - Zip Code:11590-2016
Practice Address - Country:US
Practice Address - Phone:516-236-4876
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-11
Last Update Date:2013-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY10 310031372500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider