Provider Demographics
NPI:1699109447
Name:GUTIERREZ, DENYZE (LVN)
Entity type:Individual
Prefix:
First Name:DENYZE
Middle Name:
Last Name:GUTIERREZ
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19333 HIGHWAY 59 N STE 280
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77338-4256
Mailing Address - Country:US
Mailing Address - Phone:281-540-0331
Mailing Address - Fax:281-540-0339
Practice Address - Street 1:19333 HIGHWAY 59 N STE 280
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338-4256
Practice Address - Country:US
Practice Address - Phone:281-540-0331
Practice Address - Fax:281-540-0339
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-29
Last Update Date:2013-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX303730164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse