Provider Demographics
NPI:1356815856
Name:GUTIERREZ SWEENEY, ISIS (FNP-C)
Entity Type:Individual
Prefix:
First Name:ISIS
Middle Name:
Last Name:GUTIERREZ SWEENEY
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9415 BOSE CIR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78250-3840
Mailing Address - Country:US
Mailing Address - Phone:956-579-4494
Mailing Address - Fax:
Practice Address - Street 1:9415 BOSE CIR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78250-3840
Practice Address - Country:US
Practice Address - Phone:956-579-4494
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-17
Last Update Date:2022-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX898409163W00000X
TX1058908363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse