Dr. Gloryanne Gautier Nieves, MD
Surgery in Philadelphia, PA. Individual provider (NPI-1).
NPI number1164049854
StatusActive
Last updated in NPPESJul 6, 2025
Details
- NPI
- 1164049854
- Entity type
- Individual (NPI-1)
- Name
- Dr. Gloryanne Gautier Nieves
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 29, 2020
- Certification date
- Jul 6, 2025
- Last updated
- Jul 6, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | MD489864 | PA | Yes |
| 208600000X | Surgery | MT221949 | PA |
Other names
- Gloryanne Gautier (Other Name)
Practice location
333 Cottman AvePhiladelphia, PA 19111-2497
Phone 888-369-2427
Mailing address
3509 N Broad St Ste 226Philadelphia, PA 19140-4105
Phone 215-707-9837
Other practice locations
5401 Old York Rd # Klein101
Philadelphia, PA 19141-3030
Philadelphia, PA 19141-3030
Phone 215-456-3443 · Fax 215-456-7602
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Surgery Physician providers in Philadelphia, PA
- Samir Abu Gazala, M.D.NPI 1750708251
- Iman Nour Afif, MDNPI 1679066237
- Rajesh Aggarwal, MDNPI 1821340290
- Allison Aggon, D.O.NPI 1972759900
- Parvez Ahmed, MDNPI 1922320597
- Itohan AikhionbareNPI 1366135535
- Rita AkumuoNPI 1881219210
- Adham Magdi Alifarag, MDNPI 1023630712
- Maria Spassova Altieri, MDNPI 1134436645
- Angel Paulo Gopez Amante, MDNPI 1447863154
All 476 Surgery Physician providers in Philadelphia · All 53,595 providers in Philadelphia
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.