Individual
NICOLE RANGEL GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
23960 KATY FWY STE 380, KATY, TX 77494-0893
(281) 500-6366
(281) 500-6363
Mailing address
23960 KATY FWY STE 380, KATY, TX 77494-0893
(281) 500-6366
(281) 500-6363
Taxonomy
Speciality
Code
Description
License number
State
163WN0800X
Neuroscience Registered Nurse
733041
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
AP141982
TX
363LG0600X
Gerontology Nurse Practitioner
AP141982
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
733041
STATE REGISTERED NURSE LICENSE
TX
01
—
AP141982
NURSING STATE LICENSE
TX
Enumeration date
05/31/2019
Last updated
09/16/2024
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