Provider Demographics
NPI:1003272030
Name:GUENTHER, ESTELA ARANDA
Entity Type:Individual
Prefix:MS
First Name:ESTELA
Middle Name:ARANDA
Last Name:GUENTHER
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:BLANCA
Other - Middle Name:ESTELA
Other - Last Name:ARANDA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHN
Mailing Address - Street 1:10940 VIACHA CT
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92124-3426
Mailing Address - Country:US
Mailing Address - Phone:858-568-0662
Mailing Address - Fax:
Practice Address - Street 1:5560 OVERLAND AVE
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123-1204
Practice Address - Country:US
Practice Address - Phone:858-568-0662
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-06
Last Update Date:2016-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA589148163WC0200X, 163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine
No163WC1500XNursing Service ProvidersRegistered NurseCommunity Health