Individual
KIRSTEN MICHELE GUTLAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
630 W 168TH ST, NEW YORK, NY 10032-3725
(212) 305-2500
Mailing address
100 W 93RD ST APT 24E, NEW YORK, NY 10025-7586
(818) 877-5558
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
431748
NY
Other
Enumeration date
08/18/2020
Last updated
08/18/2020
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