Individual
MRS. EMILY GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, CPNP, IFM-CP
Contact information
Practice address
6618 SITIO DEL RIO BLVD STE D102, AUSTIN, TX 78730-1148
(512) 599-8850
(512) 599-8777
Mailing address
6618 SITIO DEL RIO BLVD STE D102, AUSTIN, TX 78730-1148
(512) 599-8850
(512) 599-8777
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
674920
TX
363LP0200X
Pediatric Nurse Practitioner
Primary
6749201
TX
Other
Enumeration date
03/27/2013
Last updated
04/23/2019
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