Individual
IRENE AMANDA GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
102 E LAKE MEAD PKWY, HENDERSON, NV 89015-5575
(702) 492-8592
(702) 492-8045
Mailing address
PO BOX 33269, PHOENIX, AZ 85067-3269
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
21208
NV
207Q00000X
Family Medicine Physician
349512
LA
208M00000X
Hospitalist Physician
Primary
21208
NV
208M00000X
Hospitalist Physician
349512
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
349512
LICENSE
LA
Enumeration date
04/04/2013
Last updated
12/16/2025
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