Individual
MS. EDNA GAIL GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
121 N. MAIN, MELROSE, NM 88124
(575) 253-4373
(575) 253-4575
Mailing address
PO BOX 299, PORTALES, NM 88130-0299
(575) 356-6652
(575) 359-6827
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP00610
NM
363LF0000X
Family Nurse Practitioner
R30396
NM
Other
Enumeration date
08/30/2005
Last updated
08/16/2016
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