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Individual
MRS. STACY MARIE GUTIERREZ
Active
Individual
MRS. STACY MARIE GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
898509
TX
163W00000X
Registered Nurse
754202
TX
163WL0100X
Lactation Consultant (Registered Nurse)
202997
TX
363LF0000X
Family Nurse Practitioner
Primary
AP142069
TX
Other
Enumeration date
06/16/2014
Last updated
01/26/2021
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