Provider Demographics
NPI:1447673413
Name:GUECO, MARIA LOURDES
Entity type:Individual
Prefix:
First Name:MARIA LOURDES
Middle Name:
Last Name:GUECO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:
Other - Last Name:GUECO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:520 E LAKE MEAD PKWY
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89015-5578
Mailing Address - Country:US
Mailing Address - Phone:702-759-0854
Mailing Address - Fax:702-558-3127
Practice Address - Street 1:520 E LAKE MEAD PKWY
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89015-5578
Practice Address - Country:US
Practice Address - Phone:702-759-0854
Practice Address - Fax:702-558-3127
Is Sole Proprietor?:No
Enumeration Date:2014-01-28
Last Update Date:2014-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVRN 36370163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse