Gutierrez Sisneros, Annabelle X.
Gutierrez Sisneros, Annabelle X. is an sole proprietor health care provider with primary practice located at 1120 Industrial Park Rd, Suite 401 , Espanola NM 87532-0000. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult, which is considered as her primary health care specialty. Gutierrez Sisneros, Annabelle X. can be contacted via phone (505) 690-0213.Contact Information
Primary practice address
1120 Industrial Park Rd, Suite 401
Espanola NM 87532-0000
Phone: (505) 690-0213
Fax: (505) 747-2965
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult | 364SP0809X | R22377 | New Mexico |
Profile Details
NPI number | 1558457309 |
---|---|
LBN Legal business name | Gutierrez Sisneros, Annabelle X. |
Credentials | APRN, BC MSN CCM MA |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 5th, 2006 |
Last updated | Jan 30th, 2008 - about 16 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1558457309 | NPPES |
New Mexico | MEDICAID | 59870788 |
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