Provider Demographics
NPI:1336865468
Name:GUNTHER, SASHA (ARNP)
Entity Type:Individual
Prefix:
First Name:SASHA
Middle Name:
Last Name:GUNTHER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6832 NAWADAHA BLVD
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32818-5365
Mailing Address - Country:US
Mailing Address - Phone:808-341-9290
Mailing Address - Fax:
Practice Address - Street 1:6832 NAWADAHA BLVD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32818-5365
Practice Address - Country:US
Practice Address - Phone:808-341-9290
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-19
Last Update Date:2022-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11021655363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL9386234OtherRN LICENSE
FL2021083626OtherANCC CERTIFICATION
FL11021655OtherAPRN LICENSE