Individual
MRS. SARAH ELIZABETH GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA1632
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13620814
CAQH
NV
01
—
PA1632
PA-C LICENSE
NV
Enumeration date
09/27/2013
Last updated
06/25/2020
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