Individual
MS. KRISTINA D GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
17600 I-45, CONROE, TX 77384
(936) 267-5000
Mailing address
2414 W 12TH ST, AUSTIN, TX 78703-3813
(512) 638-0688
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1917
TX
363LP0222X
Critical Care Pediatric Nurse Practitioner
AP121416
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
384825
—
AZ
01
—
AP121416
TX BOARD OF NURSING LICENSE NUMBER
TX
Enumeration date
08/06/2008
Last updated
03/05/2019
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