Provider Demographics
NPI:1851966899
Name:GUINTHER, DALE SCOTT (APRN; FNP-BC)
Entity Type:Individual
Prefix:
First Name:DALE
Middle Name:SCOTT
Last Name:GUINTHER
Suffix:
Gender:M
Credentials:APRN; FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:88 MDOS/SGOM 4881 SUGAR MAPLE DRIVE
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45433
Mailing Address - Country:US
Mailing Address - Phone:937-257-0857
Mailing Address - Fax:937-257-1819
Practice Address - Street 1:1 KETTERING WAY STE 200
Practice Address - Street 2:
Practice Address - City:PIQUA
Practice Address - State:OH
Practice Address - Zip Code:45356-4146
Practice Address - Country:US
Practice Address - Phone:937-916-2700
Practice Address - Fax:937-916-2704
Is Sole Proprietor?:No
Enumeration Date:2021-05-21
Last Update Date:2022-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0028754363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily