GASTON ALBA GUTIERREZ NP - NPI 1275695538 - Nurse Practitioner in Albuquerque, NM

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

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About Gaston Alba Gutierrez Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GASTON ALBA GUTIERREZ NP (NPI 1275695538) is an individual family provider in Albuquerque, New Mexico, licensed in New Mexico (01771) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1275695538

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameGASTON ALBA GUTIERREZCredential: NP

Location Address4201 MONTANO RD NWAlbuquerque, NM 87120-5743

Mailing Address85 West Highway 22Santo Domingo, NM 87052 · (505) 464-3060

Phone(505) 866-3892

Sole ProprietorNo

Enumeration DateDecember 14, 2006

Last NPPES UpdateMarch 7, 2023

✔ NPI 1275695538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NM · 01771

4201 MONTANO RD NW, Albuquerque, NM 87120

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Other Identifiers 1

Medicaid24755761NM

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TERESA K LEBERKNIGHT PHARM.D

Pharmacist