Provider Demographics
NPI:1285667741
Name:GUNTHER, HOPE RENN (CNM)
Entity Type:Individual
Prefix:
First Name:HOPE
Middle Name:RENN
Last Name:GUNTHER
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 W ARBOR DR
Mailing Address - Street 2:MC 8612
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92103-9001
Mailing Address - Country:US
Mailing Address - Phone:619-543-2533
Mailing Address - Fax:619-543-2366
Practice Address - Street 1:200 W ARBOR DR
Practice Address - Street 2:MC 8612
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92103-9001
Practice Address - Country:US
Practice Address - Phone:619-543-2533
Practice Address - Fax:619-543-2366
Is Sole Proprietor?:No
Enumeration Date:2006-07-08
Last Update Date:2010-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANMW1421367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
CANMW014210Medicaid
CAWNMW1421AMedicare ID - Type Unspecified
CANMW014210Medicaid