Healthcare Provider Details

I. General information

NPI: 1558278507
Provider Name (Legal Business Name): STEPHANIE GUTIERREZ MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2121 S ONEIDA ST
DENVER CO
80224-2549
US

IV. Provider business mailing address

14562 E ELK PL
DENVER CO
80239-6488
US

V. Phone/Fax

Practice location:
  • Phone: 720-863-6100
  • Fax:
Mailing address:
  • Phone: 720-379-3614
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberLPCC.0024286
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: