Gutierrez, Stacy Marie

Gutierrez, Stacy Marie is an sole proprietor health care provider with primary practice located at 20003 Mahogany Ridge Dr , Magnolia TX 77355-4996. She recently has 4 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Nursing Service Providers / Registered Nurse, Nursing Service Providers / Lactation Consultant, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Gutierrez, Stacy Marie can be contacted via phone (443) 955-9836.

Contact Information

Primary practice address
20003 Mahogany Ridge Dr Magnolia TX 77355-4996
Phone: (443) 955-9836
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 898509 Texas
Nursing Service Providers / Registered Nurse 163W00000X 754202 Texas
Nursing Service Providers / Lactation Consultant 163WL0100X 202997 Texas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP142069 Texas

Profile Details

NPI number 1366856536
LBN Legal business name Gutierrez, Stacy Marie
Credentials FNP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 16th, 2014
Last updated Jan 26th, 2021 - about 5 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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