Individual
ANA B GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
703 THORNWOOD ST, MISSION, TX 78574-2378
(956) 570-9887
Mailing address
703 THORNWOOD ST, MISSION, TX 78574-2378
(956) 570-9887
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
547501
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000
NONE
—
Enumeration date
05/08/2019
Last updated
05/08/2019
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