Maria Isabel Gutierrez, STNA
Individual provider Active NPI Home Health Aide · Northwood, OH
NPI 1497001028 · NPPES record last updated Aug 1, 2012
Key facts
- NPI
- 1497001028
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- License
- 400283080903 (OH)
- Practice address
- 1929 Joseph St
Northwood, OH 43619-1209 - Phone
- (567) 686-9027
- NPI assigned
- Aug 1, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 400283080903 | OH | MD | Home Health Aide |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | 400283080903 | OH | Yes |
Addresses
Primary practice location
1929 Joseph St
Northwood, OH 43619-1209
Mailing address
1929 Joseph St
Northwood, OH 43619-1209
Phone (567) 686-9027
Other providers in Northwood, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 1, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.