Gutierrez, Karen L

Gutierrez, Karen L is an individual health care provider with primary practice located at 192 Park Club Ln , Williamsville NY 14221-5270. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Gutierrez, Karen L can be contacted via phone (716) 422-0010.

Contact Information

Primary practice address
192 Park Club Ln Williamsville NY 14221-5270
Fax: (716) 422-0618
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 331702 New York

Profile Details

NPI number 1659365500
LBN Legal business name Gutierrez, Karen L
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2005
Last updated Jul 21st, 2022 - about 3 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 1659365500 NPPES
New York MEDICAID 02346454

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