Provider Demographics
NPI:1578521480
Name:RAWSON, GINA GUTIERREZ (NP)
Entity Type:Individual
Prefix:MS
First Name:GINA
Middle Name:GUTIERREZ
Last Name:RAWSON
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17040 DOWNEY AVE
Mailing Address - Street 2:APARTMENT C
Mailing Address - City:BELLFLOWER
Mailing Address - State:CA
Mailing Address - Zip Code:90706-5588
Mailing Address - Country:US
Mailing Address - Phone:562-618-6054
Mailing Address - Fax:
Practice Address - Street 1:17040 DOWNEY AVE
Practice Address - Street 2:APARTMENT C
Practice Address - City:BELLFLOWER
Practice Address - State:CA
Practice Address - Zip Code:90706-5588
Practice Address - Country:US
Practice Address - Phone:562-618-6054
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14825363LF0000X
NY333733363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily