LISA MARGO GUERTIN (NPI# 1073940631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073940631 |
| Entity Type | Individual |
| Full Name | LISA MARGO GUERTIN |
| Other Name | LISA MARGO-SHURACK |
| Practice Address |
10836 Morningstar Drive Hollywood FL 33026 |
| Mailing Address |
10836 Morningstar Drive Cooper City FL 33026 |
| Practice Telephone | 3059682634 |
| Mailing Telephone | 3059682634 |
| Enumeration Date | 2013-09-27 |
| Last Update Date | 2017-02-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
ARNP1470632 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184933871 | Lisa Guertin | Nurse Practitioner | 1959 Ne Pacific St, Seattle, WA 98195-2200 | 2010-09-29 |
| 1831340165 | Lisa Marie Guertin | Physician Assistant | 184 Tarrytown Rd, Manchester, NH 03103-2713 | 2008-10-06 |
| Street Address |
10836 MORNINGSTAR DRIVE |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811488398 | Nathanel A Shammay | Student in an Organized Health Care Education/Training Program | 11251 Renaissance Rd, Cooper City, FL 33026 | 2018-05-21 |
| 1245741313 | Isabel C Gomez | Behavior Technician | 1300 St Charles Place, Pembroke Pines, FL 33026 | 2017-10-17 |
| 1376052233 | Natalie Valentine | Psychologist | 11749 Nw 12th St, Pembroke Pines, FL 33026 | 2017-09-23 |
| 1285159178 | Belkis Perez | Optometrist | 11605 Pines Blvd., Pembroke Pines, FL 33026 | 2017-08-11 |
| 1447792429 | Merlin Abraham | Physical Therapy Assistant | 10794 Pines Blvd #104, Pembroke Pines, FL 33026 | 2016-11-08 |
| 1588024285 | Kerryrose Joyceann Gordon | Registered Nurse | 600 North Hiatus Road, Suite 102, Pembroke Pines, FL 33026 | 2016-02-24 |
| 1659745149 | Grand Dialysis Services LLC | Clinic/Center | 500 N. Hiatus Road, Suite 105, Pembroke Pines, FL 33026 | 2015-11-20 |
| 1992107999 | Therapies 4 Kids, Inc. | Clinic/Center | 1311-1321 N. Palm Avenue, Pembroke Pines, FL 33026 | 2014-09-22 |
| 1881930865 | Carol Elizabeth Farrell | Speech-Language Pathologist | 11704 Melaleuca Way, Cooper City, FL 33026 | 2012-12-20 |
| 1407100993 | Sharon Cam Whitehorn | Physician Assistant | 500 N Hiatus Rd Ste 101, Pembroke Pines, FL 33026 | 2012-11-05 |
| Find all providers in zip 33026 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558794412 | Brayne Concepts, Inc | Nurse Practitioner | 3341 N University Dr, Suite # 1, Hollywood, FL 33024-2291 | 2013-08-14 |
| 1275839953 | E Sullivan Arnp Pa | Nurse Practitioner | 10979 Mainsail Dr, Hollywood, FL 33026-4720 | 2011-01-28 |
| 1346560307 | Psych Pro, Inc | Nurse Practitioner | 2443 Jackson St, Hollywood, FL 33020-4928 | 2010-06-01 |
| 1124094701 | Rolando Q Santos | Nurse Practitioner | 3400 N 29th Ave, Hollywood, FL 33020 | 2006-02-24 |
| 1134745185 | Cindy Sayonara Derequito | Nurse Practitioner | 7261 Sheridan St Ste 100b, Hollywood, FL 33024-2708 | 2020-06-24 |
| 1144860453 | Karina Gitlin | Nurse Practitioner | 7369 Sheridan St Ste 203, Hollywood, FL 33024-2776 | 2020-01-14 |
| 1710522735 | Maria Mercedes Pimentel | Nurse Practitioner | 7261 Sheridan St Ste 100b, Hollywood, FL 33024-2708 | 2019-11-13 |
| 1992276760 | Lorinda Lo | Nurse Practitioner | 4110 Davie Road Ext, Hollywood, FL 33024-1679 | 2018-12-05 |
| 1750850863 | Muhammad Kashif Nawaz | Nurse Practitioner | 7369 Sheridan St Ste 203, Hollywood, FL 33024-2776 | 2018-11-19 |
| 1184138364 | John Odia Cordia | Nurse Practitioner | 7369 Sheridan St Ste 203, Hollywood, FL 33024-2776 | 2017-11-26 |
| Find all providers in HOLLYWOOD | ||||
Please comment or provide details below to improve the information on LISA MARGO GUERTIN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.