Active NPIIndividual providerSole proprietor

Jose Gutierrez Jr.

Nurse Practitioner, Family in Hanscom Afb, Massachusetts

NPI Number1962950378
Practice location
59 Grenier St, Building 1507, Hanscom Afb, MA 01731
Fax
—
Last updated
September 14, 2016

Jose Gutierrez is a Nurse Practitioner, Family based in Hanscom Afb, MA. Jose Gutierrez practices in Hanscom Afb, MA. The NPI Number for Jose Gutierrez is 1962950378 and holds a License No. 6716 (CT). The current practice location address for Jose Gutierrez is 59 Grenier St, Building 1507, Hanscom Afb, MA 01731 and can be reached out via phone at 339-202-6423.

Provider Profile Details

NPI Number
1962950378
Provider Name
Jose Gutierrez
Provider Entity Type
Individual
Gender
Male
Address
59 Grenier St, Building 1507, Hanscom Afb, MA 01731
Phone Number
339-202-6423
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
Yes
Provider Enumeration Date
September 14, 2016
Last Update Date
September 14, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
59 Grenier St
Building 1507
Hanscom Afb, MA 01731
Zip
01731
Phone Number
339-202-6423
Hanscom Afb, MA 01731Get directions →

Provider Business Mailing Address Details

Address
360 State St
Apt 2618
New Haven, CT 06510-3601
City
New Haven
State
CT
Zip
06510-3601
Phone Number
309-335-4242

License Information

License Number
6716
License State
CT
Taxonomy
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jose Gutierrez Jr.?

The NPI number of Jose Gutierrez Jr. is 1962950378. It was assigned on September 14, 2016 and is currently active in the NPPES registry.

What is the specialty of Jose Gutierrez Jr.?

Jose Gutierrez Jr. is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in CT under license number 6716.

Where does Jose Gutierrez Jr. practice?

The practice location is 59 Grenier St, Building 1507, Hanscom Afb, MA 01731. The office can be reached at 339-202-6423 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1962950378 directly on the NPPES registry website.

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