Individual
VANESSA IVETTE GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, PNP, CRNP
Contact information
Practice address
10775 PIONEER TRL STE 215, TRUCKEE, CA 96161-0234
(415) 424-4266
(415) 520-6633
Mailing address
8300 ESTERS BLVD STE 900, IRVING, TX 75063-2233
(415) 424-4266
(415) 520-6633
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
95009713
CA
363LP0200X
Pediatric Nurse Practitioner
APRN11031756
FL
363LP0200X
Pediatric Nurse Practitioner
R265873
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100366410
—
CA
Enumeration date
10/31/2018
Last updated
05/15/2024
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