Gutierrez, Gustavo

Gutierrez, Gustavo is an individual health care provider with primary practice located at 800 S County Line Dr , Chaparral NM 88081. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Gutierrez, Gustavo can be contacted via phone (575) 824-0820.

Contact Information

Primary practice address
800 S County Line Dr Chaparral NM 88081
Phone: (575) 824-0820
Fax: (575) 824-1021
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X CNP-02890 New Mexico
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X AP129867 Texas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP129867 Texas

Profile Details

NPI number 1700242112
LBN Legal business name Gutierrez, Gustavo
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 14th, 2016
Last updated Dec 7th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700242112 NPPES
New Mexico MEDICAID 48681253
New Mexico Other 507110YRND

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