# SUSAN CAMILLE GUTIERREZ

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1124432547
- **Gender:** F
- **Credential:** MSN, APRN, FNP-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | AP125921 | TX | Yes |

## Other

- **Enumeration date:** 06/13/2014
- **Last updated:** 05/16/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3435414-02 | — | TX |