Doctor Name: | STEVE B GUTWILLIG |
NPI Number: | 1003886540 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | ARNP |
License Number: | 050957-23-03 |
Business Practice Address: | 129 Turnpike St North Andover, MA - 018455032 |
Business Phone Number: | 9784700800 |
Business Fax Number: | |
Mailing Address: | 15 Montclair Dr, NASHUA |
State: | NH |
Postal Code: | 030631329 |
Phone Number: | 6037144331 |
Fax Number: | |
NPI Enumeration Date: | 01/26/2006 |
NPI Last Update Date: | 05/05/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2100X |
License Number: | 050957-23-03 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Acute Care |
Taxonomy Definition: |