Provider Demographics
NPI:1447447677
Name:GUERRERO, NANCY KORKES (MED CCC-SLP)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:KORKES
Last Name:GUERRERO
Suffix:
Gender:F
Credentials:MED CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15638 CRYSTALLO DR
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134-3594
Mailing Address - Country:US
Mailing Address - Phone:303-841-5832
Mailing Address - Fax:303-841-5832
Practice Address - Street 1:15638 CRYSTALLO DR
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80134-3594
Practice Address - Country:US
Practice Address - Phone:303-841-5832
Practice Address - Fax:303-841-5832
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-02
Last Update Date:2018-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO01023312235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist