Healthcare Provider Details

I. General information

NPI: 1962272310
Provider Name (Legal Business Name): ANNA GUNTER PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/08/2024
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 KILDAIRE FARM RD STE 210
CARY NC
27511-6574
US

IV. Provider business mailing address

330 HAWTHORNE VIEW CT
FUQUAY VARINA NC
27526-2823
US

V. Phone/Fax

Practice location:
  • Phone: 919-341-6010
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: