Individual
KATHLEEN M GUICHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2 ESSEX CENTER DR, PEABODY, MA 01960-2902
(978) 977-4000
(978) 977-4275
Mailing address
2 ESSEX CENTER DR, PEABODY, MA 01960-2926
(978) 977-4000
(978) 977-4275
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
121511
MA
363LF0000X
Family Nurse Practitioner
121511
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0356981
—
MA
01
—
N599
HARVARD PILGRIM
MA
01
—
NP1341
BLUE CROSS
MA
Enumeration date
03/27/2006
Last updated
10/27/2020
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