IndividualActive
Jackson Gutierrez
NPI 1841977089 · Nurse's Aide · Queen Creek, AZ
Provider details
- NPI number
- 1841977089
- Entity type
- Individual
- Primary specialty
- Nurse's AideNursing Service Related Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 279143 (AZ)
Specialties & taxonomies
Nursing Service Related Providers
Practice location
18470 E Lark Dr
Queen Creek, AZ 85142-5170
Phone: (615) 282-1052
Approximate (ZIP-level) locationGet directions
Mailing address
18470 E Lark Dr
Queen Creek, AZ 85142-5170
Registry dates
- Enumerated
- 2023-06-29
- Last updated
- 2023-06-29
- Certified
- 2023-06-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.