Individual
CRYSTAL GULOTTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, CNM, FNP
Contact information
Practice address
5245 E KNIGHT DR, TUCSON, AZ 85712-2147
(520) 471-4856
(520) 326-0302
Mailing address
5245 E KNIGHT DR, TUCSON, AZ 85712-2147
(520) 471-4856
(520) 326-0302
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
223799
AZ
367A00000X
Advanced Practice Midwife
Primary
AP9810
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
507765
—
AZ
Enumeration date
05/11/2017
Last updated
08/26/2021
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