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Individual

PAMELA JANE GUTIERREZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NURSE PRACTITIONER

Contact information

Practice address
279 W HILLSIDE AVE, SPENCER, IN 47460-1201
(812) 829-4437
Mailing address
279 W HILLSIDE AVE, SPENCER, IN 47460-1201
(812) 829-4437

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71012361A
IN
390200000X
Student in an Organized Health Care Education/Training Program
IN
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
10/26/2021
Last updated
03/12/2022
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