MEDICARE: ANA CEGUEDA 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
1	172V00000X	Community Health Worker

General Provider Information

NPI Number	:	1801726526
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANA CEGUEDA GUTIERREZ

Provider Business Mailing Address
First Line	:	24647 N LAKEVIEW CT APT 303
Second Line	:
City	:	FARMINGTON HILLS
State	:	MI
Zip	:	48335-2450
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2470 COLLINGWOOD ST
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48206
Country	:	US
Telephone Number	:	313-437-1549
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/22/2026
Last Update Date	:	05/22/2026

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Directions to “ ANA CEGUEDA GUTIERREZ ” Practice Location

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