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NPI Code Detail

MEDICARE: MS. SHEILA T GUTIERREZ LPN

MEDICARE: MS. SHEILA T GUTIERREZ LPN
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
1164W00000XLicensed Practical Nurse6053NV

General Provider Information

NPI Number : 1760805394
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SHEILA T GUTIERREZ LPN
Provider Business Mailing Address
First Line : 625 SHADOW LN
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106-4118
Country : US
Telephone Number : 702-759-1370
Fax Number :
Provider Business Practice Location Address
First Line : 625 SHADOW LN
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106-4118
Country : US
Telephone Number : 702-759-1370
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2014
Last Update Date : 02/03/2014

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Directions to “ MS. SHEILA T GUTIERREZ LPN” Practice Location

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