Healthcare Provider Details

I. General information

NPI: 1447931142
Provider Name (Legal Business Name): ERIKA FRANCO GUTIERREZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/26/2023
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

620 W 1ST ST
WAPATO WA
98951-1108
US

IV. Provider business mailing address

620 W 1ST ST
WAPATO WA
98951-1108
US

V. Phone/Fax

Practice location:
  • Phone: 509-314-0182
  • Fax:
Mailing address:
  • Phone: 509-877-5111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberARNP.AP.70152011-NP
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: