Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Gloryanne Gautier Nieves, MD

Individual provider Surgery Physician · NPI 1164049854

Dr. Gloryanne Gautier Nieves, MD is a Surgery Physician in Philadelphia, Pennsylvania. Works from 2 locations. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2020
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

333 Cottman Ave
Philadelphia, PA 19111-2497
Phone: (888) 369-2427
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5401 Old York Rd # Klein101, Philadelphia, PA 19141-3030 — (215) 456-3443

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence MD489864 (PA)
Surgery Physician Taxonomy 208600000X · Licence MT221949 (PA)

Record details

NPI number1164049854
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 29, 2020
Last updated in NPPESJuly 6, 2025
Certification dateJuly 6, 2025

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