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NPI Code Detail

MEDICARE: LORENA GUTIERREZ

MEDICARE: LORENA GUTIERREZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAPRN9292963FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1477000743
Entity Type Code : Individual
Provider Name (Legal Business Name) : LORENA GUTIERREZ
Provider Business Mailing Address
First Line : 2675 WINKLER AVE FL 2
Second Line :
City : FORT MYERS
State : FL
Zip : 33901-9342
Country : US
Telephone Number : 877-856-3774
Fax Number :
Provider Business Practice Location Address
First Line : 9520 BONITA BEACH RD SE
Second Line :
City : BONITA SPRINGS
State : FL
Zip : 34135-4517
Country : US
Telephone Number : 239-319-2195
Fax Number : 239-319-2194
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/05/2016
Last Update Date : 01/10/2024

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Directions to “ LORENA GUTIERREZ ” Practice Location

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