AMANDA M GUTIERREZ NPI 1578725305

NPI Information

  • NPI: 1578725305
  • Provider Name: AMANDA M GUTIERREZ
  • Classification: Driver - 172A00000X
  • Entity Type: Individual
  • Address: 900 E MAYWOOD AVE
    PEORIA, IL
    ZIP 61603
  • Phone: (309) 202-5043

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NPI Details

Amanda M Gutierrez is a driver in Peoria, IL. The provider is a person employed to operate a motor vehicle as a carrier of persons or property. Amanda M Gutierrez NPI is 1578725305. 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:

900 E MAYWOOD AVE
PEORIA, IL
ZIP 61603-018
Phone: (309) 202-5043

The enumeration date for this NPI number is 7/2/2008 and was last updated on 7/2/2008.

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
1172A00000XDriverG36201376785ILLINOISYes

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: 11/21/2025

NPI Synchronization or Removal

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