Doctor Name: | MS. MARCELLA C GUTIERREZ |
NPI Number: | 1053570408 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP, NP-C |
License Number: | 64424 |
Business Practice Address: | 7000 Boulder Ave Highland, CA - 923463348 |
Business Phone Number: | 9098621191 |
Business Fax Number: | 9098622768 |
Mailing Address: | Po Box 12209, SAN BERNARDINO |
State: | CA |
Postal Code: | 924232209 |
Phone Number: | 9098621191 |
Fax Number: | 9098622768 |
NPI Enumeration Date: | 06/02/2008 |
NPI Last Update Date: | 04/01/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC0200X |
License Number: | 64424 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Critical Care Medicine |
Taxonomy Definition: |