Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Blanca Lizzeth Gutierrez

Individual provider Family Nurse Practitioner · NPI 1356025415

Blanca Lizzeth Gutierrez is a Nurse Practitioner in Wichita Falls, Texas. Qualified in 2023, 3 years ago. Practices with Fahad Omar MD PA, a 12-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
3
Licensed in
TX
In the registry since
2023
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Practice location Address checks out

901 Indiana Ave Ste 665
Wichita Falls, TX 76301-6718
Phone: (940) 432-0588
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 200 Mlk Jr Blvd, Wichita Falls, TX 76301 — (940) 766-6306

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 1001623 (TX)

Record details

NPI number1356025415
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 9, 2023
Last updated in NPPESApril 11, 2024
Certification dateApril 11, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Fahad Omar Md Pa — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Wichita Falls