Healthcare Provider Details

I. General information

NPI: 1740038603
Provider Name (Legal Business Name): SYDNEY GUENTHER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2024
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5440 THORNWOOD DR STE G
SAN JOSE CA
95123-1217
US

IV. Provider business mailing address

5440 THORNWOOD DR STE G
SAN JOSE CA
95123-1217
US

V. Phone/Fax

Practice location:
  • Phone: 408-281-9777
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number95039490
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: