Provider Demographics
NPI:1275000325
Name:GUTIERREZ SANGAL, JOANNA (APRN)
Entity type:Individual
Prefix:
First Name:JOANNA
Middle Name:
Last Name:GUTIERREZ SANGAL
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:JOANNA
Other - Middle Name:
Other - Last Name:GUTIERREZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:7077 HIGHWAY 6 N
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77095-2505
Mailing Address - Country:US
Mailing Address - Phone:361-455-2224
Mailing Address - Fax:888-639-4616
Practice Address - Street 1:7077 HIGHWAY 6 N
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77095-2505
Practice Address - Country:US
Practice Address - Phone:832-937-5905
Practice Address - Fax:888-639-4616
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-26
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP139489363L00000X, 363LP0200X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX28270OtherRX AUTH
TX781365OtherTX RN
TXAP139489OtherAPRN