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Contact Information

SUSAN M GUTIERREZ, FNP
100 MERCY WAY
JOPLIN, MO64804-4524
 Phone: 417-556-2300
 Fax: 417-556-2906
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Critical Care Medicine

363LC0200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for SUSAN M GUTIERREZ · (Female)

NPI Number 1356366405
Status Active
Credentials FNP (Family Nurse Practitioner)
Entity Individual
Enumeration date 07/12/2006
Last updated 08/10/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 125666
  • KS Medicaid 200253250D
  • MO Medicaid 428980205
  • OK Medicaid 200022690A
  • MO Other 185426 BCBS
  • MO Other P01080619 RAIL ROAD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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