Individual
THERESA A GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
10501 GOLF COURSE RD NW, BARIATRIC DEPT, ALBUQUERQUE, NM 87114-5019
(505) 727-2300
Mailing address
10501 GOLF COURSE RD NW, BARIATRIC DEPT, ALBUQUERQUE, NM 87114-5019
(505) 727-2300
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CNP-02244
NM
363LF0000X
Family Nurse Practitioner
CNP-02244
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
69802238
—
NM
Enumeration date
08/20/2013
Last updated
05/16/2016
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