Pamela Jane Gutierrez, NURSEPRACTITIONER

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1912661968

Pamela Jane Gutierrez, NURSEPRACTITIONER is a Nurse Practitioner in Spencer, Indiana. Qualified in 2021, 5 years ago. Practices with Limestone Treatment and Healing Center LLC, a 4-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying: 5
Licensed in: IN
In the registry since: 2021
Specialties on file: 3

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Practice location Address checks out

279 W Hillside Ave
Spencer, IN 47460-1201
Phone: (812) 829-4437

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary)	Taxonomy 363LF0000X · Licence 71012361A (IN)
Student in an Organized Health Care Education/Training Program	Taxonomy 390200000X
Student in an Organized Health Care Education/Training Program	Taxonomy 390200000X (IN)

Record details

NPI number	1912661968
Entity type	Individual (Type 1)
Gender	Female
Credentials	NURSEPRACTITIONER
Sole proprietor	No
NPI enumerated	October 26, 2021
Last updated in NPPES	March 12, 2022
Certification date	March 12, 2022

Medicare enrollment

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

Medicare specialty	NURSE PRACTITIONER
Medical school	OTHER
Graduated	2021 (5 years in practice)
Group practice	Limestone Treatment And Healing Center Llc — 4 clinicians
Accepts Medicare assignment	Yes — accepts the Medicare-approved amount