Provider Demographics
NPI:1063821502
Name:GUNS, KAYLA RENE' (FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:KAYLA
Middle Name:RENE'
Last Name:GUNS
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:541 DIAMOND RIDGE CIR
Mailing Address - Street 2:
Mailing Address - City:DENMARK
Mailing Address - State:WI
Mailing Address - Zip Code:54208-9214
Mailing Address - Country:US
Mailing Address - Phone:920-676-6627
Mailing Address - Fax:
Practice Address - Street 1:2593 DEVELOPMENT DR STE 240
Practice Address - Street 2:
Practice Address - City:GREEN BAY
Practice Address - State:WI
Practice Address - Zip Code:54311-4287
Practice Address - Country:US
Practice Address - Phone:920-737-1625
Practice Address - Fax:920-239-6061
Is Sole Proprietor?:No
Enumeration Date:2014-08-08
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI171205-030163W00000X
WI5901-33363LF0000X, 364SX0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SX0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistOncology
No163W00000XNursing Service ProvidersRegistered Nurse
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily