MEDICARE: ARGELIA GONZALEZ APRN-CNP FNP-BC

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
1	363LF0000X	Family Nurse Practitioner	1074072	TX

General Provider Information

NPI Number	:	1053051367
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARGELIA GONZALEZ APRN-CNP FNP-BC

Provider Business Mailing Address
First Line	:	1139 CAPER RD
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79925-7739
Country	:	US
Telephone Number	:	915-308-9467
Fax Number	:	915-592-5623

Provider Business Practice Location Address
First Line	:	1139 CAPER RD
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79925-7739
Country	:	US
Telephone Number	:	915-308-9467
Fax Number	:	915-592-5623

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/01/2022
Last Update Date	:	04/25/2022

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