Wellformed AI

NPI 1851689624 · live from the CMS NPI Registry

Carol E Gutierrez, NP-C

Nurse Practitioner in Chandler, AZ. National Provider Identifier 1851689624, active.

NPI record

NPI1851689624 Type 1 · individual
StatusActive
Primary specialtyNurse Practitioner 363L00000X
Practice location1141 N Amber St, Chandler, AZ 85225
Practice phone808-721-3605
EnumeratedJuly 14, 2011
Last updatedJuly 14, 2011
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Registered Nurse, Nurse Massage Therapist (NMT)163WM1400XRN-62461 (HI)
Nurse Practitioner primary363L00000XAPRN-1080 (HI)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.