Individual
MR. ADRIAN GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
1896 E BABBITT LN, SAN LUIS, AZ 85349
(928) 722-6112
(928) 722-6113
Mailing address
PO BOX 1669, SAN LUIS, AZ 85349
(928) 722-6112
(928) 722-6113
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP8488
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119514
—
AZ
Enumeration date
02/13/2016
Last updated
10/11/2016
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