Provider Demographics
NPI:1669019089
Name:GUTIERREZ, BRITANY
Entity type:Individual
Prefix:
First Name:BRITANY
Middle Name:
Last Name:GUTIERREZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1111 BELLOMY ST
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95050-5433
Mailing Address - Country:US
Mailing Address - Phone:408-423-3127
Mailing Address - Fax:
Practice Address - Street 1:1889 LAWRENCE RD
Practice Address - Street 2:
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95051-2166
Practice Address - Country:US
Practice Address - Phone:408-423-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-04
Last Update Date:2025-10-15
Deactivation Date:2025-08-19
Deactivation Code:
Reactivation Date:2025-09-08
Provider Licenses
StateLicense IDTaxonomies
CA333E7C8493171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach