Healthcare Provider Details

I. General information

NPI: 1285544783
Provider Name (Legal Business Name): DARLENA GONZALEZ FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7125 E JUAN SANCHEZ BLVD
SAN LUIS AZ
85336-0482
US

IV. Provider business mailing address

3098 S 32ND AVE
YUMA AZ
85364-6952
US

V. Phone/Fax

Practice location:
  • Phone: 928-627-8871
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberRNP237745
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: