MS. AURELIA GUTIERREZ-LONG


Address: Oleai Business Center, 1st Floor, Suite 108-112, San Jose, GU 96950
Phone: 6702350997

MS. AURELIA GUTIERREZ-LONG (NPI# 1619182565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619182565
Entity Type Individual
Full Name MS. AURELIA GUTIERREZ-LONG
Credential N.P.
Practice Address Oleai Business Center
1st Floor, Suite 108-112
San Jose
GU 96950
Mailing Address P.o. Box 800
Tinian
GU 96952
Practice Telephone 6702350997
Practice Fax Number 6702343742
Mailing Telephone 6704333159
Mailing Fax Number 6704335363
Enumeration Date 2007-05-14
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LW0102X Nurse Practitioner
Specialization: Women's Health
0046 MP Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address OLEAI BUSINESS CENTER
1ST FLOOR, SUITE 108-112
City SAN JOSE
State GU
Zip Code 96950

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Taxonomy Information

Taxonomy Code 363LW0102X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Women's Health

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1245343573 Bevorly Fhamore Cain-berk Nurse Practitioner 4105 Timberline Dr, San Jose, CA 95121-1033 2006-08-17
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1467083766 Julianne M Cerelli Nurse Practitioner 3131 Alum Rock Ave, San Jose, CA 95127-2902 2020-01-27
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1851526248 Wendy Dianne Ostrow Nurse Practitioner 1691 The Alameda, San Jose, CA 95126-2203 2009-05-28
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Competitor

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City SAN JOSE
Zip Code 96950

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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