Provider Demographics
NPI:1205938339
Name:GUTIERREZ, SELINDA SALINAS (RN)
Entity type:Individual
Prefix:
First Name:SELINDA
Middle Name:SALINAS
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 1:1629 TREASURE HILLS BLVD
Mailing Address - Street 2:SUITE B -5
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-8907
Mailing Address - Country:US
Mailing Address - Phone:956-366-4502
Mailing Address - Fax:956-366-4501
Practice Address - Street 1:1629 TREASURE HILLS BLVD
Practice Address - Street 2:SUITE B-5
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-8907
Practice Address - Country:US
Practice Address - Phone:956-366-4502
Practice Address - Fax:956-366-4501
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX626926163WP2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care