Maria Cielo Fajardo Gutierrez, CRNA
Nurse Anesthetist, Certified Registered in Brooklyn, NY. Individual provider (NPI-1).
NPI number1881743797
StatusActive
Last updated in NPPESMar 18, 2024
Details
- NPI
- 1881743797
- Entity type
- Individual (NPI-1)
- Name
- Miss Maria Cielo Fajardo Gutierrez
- Credential
- CRNA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 9, 2007
- Certification date
- Mar 18, 2024
- Last updated
- Mar 18, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 429612-1 | NY | Yes |
Practice location
374 Stockholm StBrooklyn, NY 11237-4006
Phone 718-963-7272
Mailing address
2540 Shore Blvd Apt 2-0Astoria, NY 11102-3941
Phone 718-956-0108
Other practice locations
2540 Shore Blvd Apt 2-0
Astoria, NY 11102-3941
Astoria, NY 11102-3941
Phone 718-956-0108
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