Individual
HOLLY GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
417 S INDIANA AVE, TRINIDAD, CO 81082-3126
(719) 846-4416
(719) 846-6408
Mailing address
41 MONTEBELLO RD STE 204, PUEBLO, CO 81001-1379
(719) 545-2746
(719) 545-4100
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.1668138
CO
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN.1668138
CO
Other
Enumeration date
03/31/2023
Last updated
09/05/2025
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