Individual
MS. HEATHER NICOLE GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-S
Contact information
Practice address
912 32ND ST, ANACORTES, WA 98221-3473
(360) 293-4343
(360) 588-1587
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(360) 293-4343
(360) 588-1587
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60803282
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/03/2016
Last updated
05/08/2020
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