| Doctor Name: | RACHEL LOIS GUNDERSON |
| NPI Number: | 1598037012 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | F.N.P. |
| License Number: | 2001028812 |
| Business Practice Address: | 5210 N. Belt Highway St. Joseph, MO - 645061211 |
| Business Phone Number: | 8162711330 |
| Business Fax Number: | 8162711333 |
| Mailing Address: | 5210 N. Belt Highway, ST. JOSEPH |
| State: | MO |
| Postal Code: | 645061211 |
| Phone Number: | 8162711330 |
| Fax Number: | 8162711333 |
| NPI Enumeration Date: | 01/30/2012 |
| NPI Last Update Date: | 01/30/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 2001028812 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |