Individual
BERNADETTE G GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPSW, CCSS,
Contact information
Practice address
908 N RIVERSIDE DR STE 6, ESPANOLA, NM 87532-2916
(505) 367-3500
(505) 367-3503
Mailing address
908 N RIVERSIDE DR STE 6, ESPANOLA, NM 87532-2916
(505) 367-3500
(505) 367-3503
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NM
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
03/11/2025
Last updated
03/11/2025
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