Individual
YERELYN GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
241 WESTFIELD AVE, CLARK, NJ 07066-1547
(731) 381-7100
Mailing address
241 WESTFIELD AVE, CLARK, NJ 07066-1547
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
696254-1
NY
363LF0000X
Family Nurse Practitioner
Primary
26NJ01222300
NJ
Other
Enumeration date
03/17/2015
Last updated
12/04/2021
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