Individual
ELLENY GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1201 FIRST COLONIAL RD, VIRGINIA BEACH, VA 23454-2217
(757) 425-5550
Mailing address
1201 FIRST COLONIAL RD, VIRGINIA BEACH, VA 23454-2217
(757) 425-5550
(757) 412-2606
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
83754-20
WI
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
Primary
0101285336
VA
390200000X
Student in an Organized Health Care Education/Training Program
322663
LA
Other
Enumeration date
08/19/2020
Last updated
03/06/2026
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