Provider Demographics
NPI:1801608674
Name:GUNTHER, CLESHA (CNA 1)
Entity type:Individual
Prefix:
First Name:CLESHA
Middle Name:
Last Name:GUNTHER
Suffix:
Gender:F
Credentials:CNA 1
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5602 HARDWICK LN
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28306-8570
Mailing Address - Country:US
Mailing Address - Phone:910-759-0350
Mailing Address - Fax:
Practice Address - Street 1:5602 HARDWICK LN
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28306-8570
Practice Address - Country:US
Practice Address - Phone:910-759-0350
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-21
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide