Individual
JODEE A GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
209006732
IL
363L00000X
Nurse Practitioner
AP00000000
WA
363LW0102X
Women's Health Nurse Practitioner
AP00000000
WA
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
AP00000000
WA
367A00000X
Advanced Practice Midwife
Primary
—
—
Other
Enumeration date
09/07/2007
Last updated
04/10/2012
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