Gutierrez, Angel Loretta

Gutierrez, Angel Loretta is an individual health care provider with primary practice located at 500 Walter St Ne Ste 501 , Albuquerque NM 87102-2521. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Gutierrez, Angel Loretta can be contacted via phone (505) 727-3170.

Contact Information

Primary practice address
500 Walter St Ne Ste 501 Albuquerque NM 87102-2521
Phone: (505) 727-3170
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 69606 New Mexico
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 69606 New Mexico
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 69606 New Mexico

Profile Details

NPI number 1538889357
LBN Legal business name Gutierrez, Angel Loretta
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2022
Last updated Apr 23rd, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538889357 NPPES
New Mexico Other 69606 NM LICENSE
New Mexico MEDICAID 30973074 NM LICENSE

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