Individual
MS. ANNABELLE X. GUTIERREZ SISNEROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, BC MSN CCM MA
Contact information
Practice address
1120 INDUSTRIAL PARK RD, SUITE 401, ESPANOLA, NM 87532-0000
(505) 690-0213
(505) 747-2965
Mailing address
PO BOX 1845, 1120 INDUSTRIAL PARK RD., SUITE 401, ESPANOLA, NM 87532-0000
(505) 690-0213
(505) 747-2965
Taxonomy
Speciality
Code
Description
License number
State
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
R22377
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
59870788
—
NM
Enumeration date
10/05/2006
Last updated
01/30/2008
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