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NPI Code Detail

MEDICARE: VIRGINIA GONZALEZ

MEDICARE: VIRGINIA GONZALEZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAP8173AZ

General Provider Information

NPI Number : 1568833077
Entity Type Code : Individual
Provider Name (Legal Business Name) : VIRGINIA GONZALEZ
Provider Business Mailing Address
First Line : 1212 S GREENFIELD RD
Second Line :
City : MESA
State : AZ
Zip : 85206-2792
Country : US
Telephone Number : 480-654-8920
Fax Number :
Provider Business Practice Location Address
First Line : 1212 S GREENFIELD RD
Second Line :
City : MESA
State : AZ
Zip : 85206-2792
Country : US
Telephone Number : 480-688-5612
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/09/2015
Last Update Date : 02/07/2025

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Directions to “ VIRGINIA GONZALEZ ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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