Organization
ACUTE CARE HOUSE CALLS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA LEE GUTIERREZ APRN-CNP AGACNP (OWNER)
(505) 859-9892
Entity
Organization
Contact information
Practice address
2210 SUNRANCH VILLAGE LOOP, SUITE A, LOS LUNAS, NM 87031
(505) 361-2111
(505) 407-4486
Mailing address
PO BOX 142, BELEN, NM 87002-0142
(505) 859-9892
(505) 407-4486
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
363LA2100X
Acute Care Nurse Practitioner
—
—
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
56171293
—
NM
Enumeration date
04/13/2020
Last updated
03/28/2022
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