Provider Demographics
NPI:1447917976
Name:GUILD, MAUREEN LEE
Entity type:Individual
Prefix:
First Name:MAUREEN
Middle Name:LEE
Last Name:GUILD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 MEREDITH RD
Mailing Address - Street 2:
Mailing Address - City:TEWKSBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01876-1334
Mailing Address - Country:US
Mailing Address - Phone:781-799-4299
Mailing Address - Fax:
Practice Address - Street 1:30 MEREDITH RD
Practice Address - Street 2:
Practice Address - City:TEWKSBURY
Practice Address - State:MA
Practice Address - Zip Code:01876-1334
Practice Address - Country:US
Practice Address - Phone:781-799-4299
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-18
Last Update Date:2021-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALN47355164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Single Specialty