Provider Demographics
NPI:1336025055
Name:GUNTHER, KENDALL ELISE (FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:KENDALL
Middle Name:ELISE
Last Name:GUNTHER
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:174 WOODGATE CIR
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:MD
Mailing Address - Zip Code:21122-1797
Mailing Address - Country:US
Mailing Address - Phone:301-512-7165
Mailing Address - Fax:
Practice Address - Street 1:174 WOODGATE CIR
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:MD
Practice Address - Zip Code:21122-1797
Practice Address - Country:US
Practice Address - Phone:301-512-7165
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-15
Last Update Date:2025-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR233535363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily