| Kim Rae Guastella, CNM,ARNP | |
|
19465 Deerfield Ave, Suite 205, Leesburg, VA 20176-1701 | |
| (703) 726-1300 | |
| (703) 726-9612 |
| Full Name | Kim Rae Guastella |
|---|---|
| Gender | Female |
| Speciality | Midwife |
| Location | 19465 Deerfield Ave, Leesburg, Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013152784 | NPI | - | NPPES |
| 1013152784 | Medicaid | VA | |
| 1013152784 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | ARNP9319862 (Florida) | Secondary |
| 176B00000X | Midwife | 0024168019 (Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kim Rae Guastella, CNM,ARNP Po Box 17334, Baltimore, MD 21297-1334 Ph: (703) 443-6717 | Kim Rae Guastella, CNM,ARNP 19465 Deerfield Ave, Suite 205, Leesburg, VA 20176-1701 Ph: (703) 726-1300 |