Individual
VINCENT GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACNP
Contact information
Practice address
800 ROSE ST, LEXINGTON, KY 40536
(859) 323-5956
Mailing address
4120 N 19TH ST, TACOMA, WA 98406-4718
(253) 431-3100
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
3015876
KY
363LA2100X
Acute Care Nurse Practitioner
95031466
CA
363LA2100X
Acute Care Nurse Practitioner
AP61060066
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP61060066
WA DOH
WA
Enumeration date
06/11/2020
Last updated
06/20/2025
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