Gutierrez, Kristina D

Gutierrez, Kristina D is an individual health care provider with primary practice located at 17600 I-45 , Conroe TX 77384. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Gutierrez, Kristina D can be contacted via phone (936) 267-5000.

Contact Information

Primary practice address
17600 I-45 Conroe TX 77384
Phone: (936) 267-5000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 1917 Texas
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care 363LP0222X AP121416 Texas

Profile Details

NPI number 1619133816
LBN Legal business name Gutierrez, Kristina D
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 6th, 2008
Last updated Mar 5th, 2019 - about 5 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 1619133816 NPPES
Texas Other AP121416 TX BOARD OF NURSING LICENSE NUMBER
Texas MEDICAID 384825 TX BOARD OF NURSING LICENSE NUMBER

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