Individual
AMANDA MICHELLE GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, ARNP, FNP-C
Contact information
Practice address
2811 TIETON DR, YAKIMA, WA 98902-3761
(509) 575-8100
Mailing address
706 TERRY LN, SELAH, WA 98942-8862
(509) 949-2530
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
RN60562253
WA
363LF0000X
Family Nurse Practitioner
Primary
AP61484325
WA
Other
Enumeration date
08/07/2023
Last updated
09/23/2023
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