Healthcare Provider Details

I. General information

NPI: 1386401636
Provider Name (Legal Business Name): DONNA LYNN GONZALEZ MSN, APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: DONNA LYNN ALMARAZ MSN, APRN, FNP-C

II. Dates (important events)

Enumeration Date: 03/04/2024
Last Update Date: 05/21/2024
Certification Date: 05/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1510 ALENA RD
ANGLETON TX
77515-8180
US

IV. Provider business mailing address

1510 ALENA RD
ANGLETON TX
77515-8180
US

V. Phone/Fax

Practice location:
  • Phone: 979-308-8480
  • Fax:
Mailing address:
  • Phone: 979-308-8480
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1154473
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: