Miranda M Gutierrez, RN, BSN is a
Registered Nurse based in Volo, Illinois. Miranda M Gutierrez is licensed to practice in Wisconsin (license number 26361230) and her current practice location is
1324 Wentworth Dr, Volo, Illinois. She can be reached at her office (for appointments etc.) via phone at
(815) 403-9926.
NPI number for Miranda M Gutierrez is 1790430346 and her current mailing address is 1324 Wentworth Dr, Volo, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1790430346.
Provider's Profile
Full Name | Miranda M Gutierrez |
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Gender | Female |
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Speciality | Registered Nurse |
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Location | 1324 Wentworth Dr, Volo, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1790430346
- Provider Enumeration Date: 02/12/2022
- Last Update Date: 02/12/2022
Medical Identifiers
Medical identifiers for Miranda M Gutierrez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790430346 | NPI | - | NPPES |
26361230 | Medicaid | WI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 26361230 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miranda M Gutierrez is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Miranda M Gutierrez, RN, BSN 1324 Wentworth Dr, Volo, IL 60020-3416 Ph: (815) 403-9926 | Miranda M Gutierrez, RN, BSN 1324 Wentworth Dr, Volo, IL 60020-3416 Ph: (815) 403-9926 |
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