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NPI Code Detail

MEDICARE: MRS. SHARON ANNE GUTIERREZ PNP

MEDICARE:  MRS. SHARON ANNE GUTIERREZ  PNP
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
1363LP0200XPediatric Nurse Practitioner598845TX

General Provider Information

NPI Number : 1952601254
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SHARON ANNE GUTIERREZ PNP
Provider Business Mailing Address
First Line : 5005 N PIEDRAS ST
Second Line :
City : EL PASO
State : TX
Zip : 79920-5001
Country : US
Telephone Number : 915-742-1093
Fax Number :
Provider Business Practice Location Address
First Line : BLDG. 11335 SSG SIMS ST.
Second Line : BIGGS AF
City : FT BLISS
State : TX
Zip : 79918
Country : US
Telephone Number : 915-742-1093
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2010
Last Update Date : 05/26/2011

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Directions to “ MRS. SHARON ANNE GUTIERREZ PNP” Practice Location

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