Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2100X | Nurse Practitioner - Acute Care | 431404 | NY |
Y | 363LG0600X | Nurse Practitioner - Gerontology | 59012 | NM |
NPI | 1073097804 |
---|---|
Provider Name | Sandra P Gutierrez |
First Address | Rochester, NY 14608-2427 |
Second Address | Rochester, NY 14642-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/09/2018 |
Last Update Date | 22/02/2021 |