Priscilla Gutierrez, NP
Nurse Practitioner in Brawley, CA. Individual provider (NPI-1).
NPI number1720868334
StatusActive
Last updated in NPPESOct 2, 2023
Details
- NPI
- 1720868334
- Entity type
- Individual (NPI-1)
- Name
- Priscilla Gutierrez
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 2, 2023
- Certification date
- Oct 2, 2023
- Last updated
- Oct 2, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | NP95025795 | CA | Yes |
Practice location
630 S Brawley Ave Ste 10Brawley, CA 92227-3107
Phone 760-623-1202
Mailing address
467 D St Apt 1Brawley, CA 92227-1980
Phone 760-235-9740
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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.
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