Provider Demographics
NPI:1255802997
Name:GUTIERREZ, YOHELI M (ARNP)
Entity type:Individual
Prefix:
First Name:YOHELI
Middle Name:M
Last Name:GUTIERREZ
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:YOHELI
Other - Middle Name:M
Other - Last Name:NUNEZ BATISTA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7950 NW 53RD ST STE 102
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33166-4681
Mailing Address - Country:US
Mailing Address - Phone:786-631-3222
Mailing Address - Fax:786-245-4721
Practice Address - Street 1:7950 NW 53RD ST STE 102
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33166-4681
Practice Address - Country:US
Practice Address - Phone:786-631-3222
Practice Address - Fax:786-245-4721
Is Sole Proprietor?:No
Enumeration Date:2018-12-06
Last Update Date:2018-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9428408363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics