Provider Demographics
NPI:1366606477
Name:GUENTHER, MARY GRETA (APNP)
Entity type:Individual
Prefix:MS
First Name:MARY
Middle Name:GRETA
Last Name:GUENTHER
Suffix:
Gender:F
Credentials:APNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 N ORCHARD ST
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53715-1150
Mailing Address - Country:US
Mailing Address - Phone:608-265-5481
Mailing Address - Fax:608-265-0605
Practice Address - Street 1:115 N ORCHARD ST
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53715-1150
Practice Address - Country:US
Practice Address - Phone:608-265-5481
Practice Address - Fax:608-265-0605
Is Sole Proprietor?:No
Enumeration Date:2008-07-17
Last Update Date:2008-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1073-033163WC1400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1400XNursing Service ProvidersRegistered NurseCollege Health