Provider Demographics
NPI:1134557325
Name:GUTIERREZ, NORMA CHRISTELA (RN)
Entity type:Individual
Prefix:MRS
First Name:NORMA
Middle Name:CHRISTELA
Last Name:GUTIERREZ
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:630 S GENERAL MCMULLEN DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78237-2005
Mailing Address - Country:US
Mailing Address - Phone:210-644-8509
Mailing Address - Fax:210-644-8525
Practice Address - Street 1:630 S GENERAL MCMULLEN DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78237-2005
Practice Address - Country:US
Practice Address - Phone:210-644-8509
Practice Address - Fax:210-644-8525
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-24
Last Update Date:2013-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX255508163WP2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care