Individual ProviderLia Sloan GutierrezNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address9900 Bren Rd E, Minnetonka, MN 55343-9664(210) 884-3308PECOS EnrollmentBased on the most recent information from CMS, provider Lia Sloan Gutierrez does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1881685907Provider TypeIndividualFull NameGutierrez, Lia SloanCredentialAPRN, FNP-BCGenderFemaleSole ProprietorNoEnumeration Date10/31/2005Last Updated9/11/2020Contact InformationPractice LocationPractice Address9900 Bren Rd E, Minnetonka, MN 55343-9664Phone(210) 884-3308FaxUnlisted FaxMailing LocationMailing Address496 Chinkapin Trl, New Braunfels, TX 78132-2979Phone(210) 884-3308FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363L00000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense600636TexasProvider IdentifiersIDDescriptionIssuerID088294603DescriptionMedicaidIssuerUnlistedTexasID88N454DescriptionOtherIssuerBCBSTexas