Individual
HAYDEE MARITZA GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN60813645
Contact information
Practice address
420 S 32ND AVE, YAKIMA, WA 98902-3635
(509) 823-4200
(509) 823-4220
Mailing address
3901 W COURT ST, PASCO, WA 99301-2776
(668) 904-7721
(509) 248-3644
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP61495359
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP61495359
WASHINGTON LICENSE
WA
Enumeration date
04/17/2018
Last updated
12/01/2023
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