Provider Demographics
NPI:1265693683
Name:GUNTHER, MARY HEDLEY (NP)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:HEDLEY
Last Name:GUNTHER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
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Mailing Address - Street 1:8580 MAGELLAN PKWY
Mailing Address - Street 2:BUILDING IV
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23227-1149
Mailing Address - Country:US
Mailing Address - Phone:804-627-5291
Mailing Address - Fax:804-627-6515
Practice Address - Street 1:8580 MAGELLAN PKWY
Practice Address - Street 2:BUILDING IV
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23227-1149
Practice Address - Country:US
Practice Address - Phone:804-627-5291
Practice Address - Fax:804-627-6515
Is Sole Proprietor?:No
Enumeration Date:2008-06-18
Last Update Date:2008-06-18
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Provider Licenses
StateLicense IDTaxonomies
VA0024094292363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology