MS. JOSEPHINE YVETTE PENA-GUTIERREZ PNP NPI 1164413811

NPI Information

NPI: 1164413811
Provider Name: MS. JOSEPHINE YVETTE PENA-GUTIERREZ, PNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX
ZIP 78234
Phone: (210) 539-9582
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MS. Josephine Yvette Pena-gutierrez, PNP is a pediatrics nurse practitioner in Fort Sam Houston, TX. MS. Josephine Yvette Pena-gutierrez, PNP NPI is 1164413811. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX
ZIP 78234-504
Phone: (210) 539-9582

The enumeration date for this NPI number is 11/2/2005 and was last updated on 6/30/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0200X	Nurse Practitioner	Pediatrics	559202	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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