Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | 29125 | TN |
NPI | 1013479849 |
---|---|
Provider Name | Amy Guenther |
First Address | Memphis, TN 38128-2504 |
Second Address | Memphis, TN 38157-0800 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/04/2019 |
Last Update Date | 21/05/2021 |