Basic Information
| Provider Information | |||||||||
| NPI: | 1306949292 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | GUERRIERI-MARSH | ||||||||
| FirstName: | ANN | ||||||||
| MiddleName: | M. | ||||||||
| NamePrefix: | MS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.S.N.,APRN,BC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7400 MERTON MINTER BOULEVARD | ||||||||
| Address2: | STVHCS (118) NURSING SERVICE | ||||||||
| City: | SAN ANTONIO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 782294404 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2106175300 | ||||||||
| FaxNumber: | 2103212728 | ||||||||
| Practice Location | |||||||||
| Address1: | 7400 MERTON MINTER BOULEVARD | ||||||||
| Address2: | STVHCS (118) NURSING SERVICE | ||||||||
| City: | SAN ANTONIO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 782294404 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2106175300 | ||||||||
| FaxNumber: | 2103212728 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/06/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163WP0809X | 212067L | PA | Y | Nursing Service Providers | Registered Nurse | Psych/Mental Health, Adult |
ID Information
| ID | Type | State | Issuer | Description | 212067L | 01 | PA | RN | OTHER | 454760 | 01 | TX | RN | OTHER |