Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | RN181697 | MA |
N | 363LA2200X | Nurse Practitioner - Adult Health | CNP81052 | ME |
N | 363LA2200X | Nurse Practitioner - Adult Health | RN181697 | MA |
NPI | 1023120235 |
---|---|
Provider Name | Donna M Guenther |
First Address | Boston, MA 02114-2621 |
Second Address | Boston, MA 02114-2621 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/09/2006 |
Last Update Date | 01/04/2021 |