Provider Demographics
NPI:1013673698
Name:GUENTHNER, SHERRIE SUE
Entity Type:Individual
Prefix:
First Name:SHERRIE
Middle Name:SUE
Last Name:GUENTHNER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 111
Mailing Address - Street 2:
Mailing Address - City:HAZEN
Mailing Address - State:ND
Mailing Address - Zip Code:58545-0111
Mailing Address - Country:US
Mailing Address - Phone:170-174-8212
Mailing Address - Fax:
Practice Address - Street 1:106 4TH AVE SW
Practice Address - Street 2:
Practice Address - City:HAZEN
Practice Address - State:ND
Practice Address - Zip Code:58545-4228
Practice Address - Country:US
Practice Address - Phone:701-748-2129
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-09
Last Update Date:2021-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant