Provider Demographics
NPI:1245433549
Name:GUTHMILLER, MUN CONNERS (NURSE ANESTHETIST)
Entity type:Individual
Prefix:
First Name:MUN
Middle Name:CONNERS
Last Name:GUTHMILLER
Suffix:
Gender:F
Credentials:NURSE ANESTHETIST
Other - Prefix:
Other - First Name:MUN
Other - Middle Name:
Other - Last Name:CONNERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNA
Mailing Address - Street 1:2830 SOMERSET PL
Mailing Address - Street 2:
Mailing Address - City:SAN MARINO
Mailing Address - State:CA
Mailing Address - Zip Code:91108-3032
Mailing Address - Country:US
Mailing Address - Phone:210-573-3897
Mailing Address - Fax:
Practice Address - Street 1:433 EAST SANTA CLARA ST
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91006
Practice Address - Country:US
Practice Address - Phone:702-651-2274
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-06
Last Update Date:2017-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACA616826367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered