Healthcare Provider Details

I. General information

NPI: 1730727041
Provider Name (Legal Business Name): MARIA ANGELICA GUTIERREZ FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/17/2019
Last Update Date: 02/24/2025
Certification Date: 02/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6327 N FRESNO ST STE 101
FRESNO CA
93710-5236
US

IV. Provider business mailing address

5315 W HILLSDALE AVE
VISALIA CA
93291-5118
US

V. Phone/Fax

Practice location:
  • Phone: 559-732-9900
  • Fax:
Mailing address:
  • Phone: 559-732-9900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95012617
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: