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Individual

MRS. DIANA LEE GUTIERREZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
AGACNP

Contact information

Practice address
1009 GOLF COURSE RD SE STE 109, RIO RANCHO, NM 87124-4705
(505) 891-3344
(505) 896-4499
Mailing address
1016 QUINTA ANTIGUA LN, EL PASO, TX 79912-2039
(915) 779-7378

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
56997
NM
363L00000X
Nurse Practitioner
C-APN.0101302-C-NP
CO
363LA2200X
Adult Health Nurse Practitioner
56997
NM
363LG0600X
Gerontology Nurse Practitioner
56997
NM

Other

Enumeration date
08/22/2019
Last updated
08/06/2025
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