Individual
ANGEL LORETTA GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
500 WALTER ST NE STE 501, ALBUQUERQUE, NM 87102-2521
(505) 727-3170
Mailing address
500 WALTER ST NE STE 501, ALBUQUERQUE, NM 87102-2521
(505) 727-3170
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
69606
NM
363LF0000X
Family Nurse Practitioner
Primary
69606
NM
363LP2300X
Primary Care Nurse Practitioner
69606
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30973074
—
NM
01
—
69606
NM LICENSE
NM
Enumeration date
08/31/2022
Last updated
04/23/2024
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