Provider Demographics
NPI:1265148118
Name:GUTIERREZ-NAVA, LAURA STEPHANIE
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:STEPHANIE
Last Name:GUTIERREZ-NAVA
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6767 W TROPICANA AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89103-4754
Mailing Address - Country:US
Mailing Address - Phone:702-209-0370
Mailing Address - Fax:702-463-1851
Practice Address - Street 1:6767 W TROPICANA AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89103-4754
Practice Address - Country:US
Practice Address - Phone:702-209-0370
Practice Address - Fax:702-463-1851
Is Sole Proprietor?:No
Enumeration Date:2023-01-24
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician