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1164550505 NPI number — MISTY E GUTIERREZ CNA

NPI Number: 1164550505
Health Care Provider/Practitioner: MISTY E GUTIERREZ CNA

Information about “1164550505” NPI (MISTY E GUTIERREZ CNA) exists in 1164550505 in HTML format HTML  |  1164550505 in plain Text format TXT  |  1164550505 in PDF (Portable Document Format) PDF  |  1164550505 in an XML format XML  formats.

NPI Number : 1164550505 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1164550505",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GUTIERREZ",
    "FirstName": "MISTY",
    "MiddleName": "E",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "CNA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 40",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GLENWOOD SPRINGS",
    "MailingAddressStateName": "CO",
    "MailingAddressPostalCode": "81602-0040",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "970-945-2241",
    "MailingAddressFaxNumber": "970-945-5523",
    "FirstLinePracticeLocationAddress": "515 28 RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GRAND JUNCTION",
    "PracticeLocationAddressStateName": "CO",
    "PracticeLocationAddressPostalCode": "81501",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "970-263-9535",
    "PracticeLocationAddressFaxNumber": "970-683-7279",
    "EnumerationDate": "02/28/2007",
    "LastUpdateDate": "07/08/2007",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "376K00000X",
        "TaxonomyName": "Nurse's Aide",
        "LicenseNumber": "715964",
        "LicenseNumberStateCode": "CO",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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