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NPI Code Detail

MEDICARE: EVA DENISSE GONZALEZ APRN, FNP-C

MEDICARE: EVA DENISSE GONZALEZ APRN, FNP-C
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
1363L00000XNurse Practitioner1218647TX
2363LF0000XFamily Nurse PractitionerAP11107AZ
3363L00000XNurse PractitionerAP11107AZ
4363L00000XNurse PractitionerC-APN.0104730-C-NPCO
5363L00000XNurse PractitionerAPRN-5019HI
6363L00000XNurse Practitioner10045493OR
7363L00000XNurse Practitioner3-002673AL
8363L00000XNurse Practitioner86266NM

General Provider Information

NPI Number : 1063917706
Entity Type Code : Individual
Provider Name (Legal Business Name) : EVA DENISSE GONZALEZ APRN, FNP-C
Provider Business Mailing Address
First Line : PO BOX 211699
Second Line :
City : EAGAN
State : MN
Zip : 55121-3699
Country : US
Telephone Number : 866-849-0692
Fax Number : 888-973-8821
Provider Business Practice Location Address
First Line : 16435 N SCOTTSDALE RD STE 285
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85254-1680
Country : US
Telephone Number : 866-849-0692
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2018
Last Update Date : 12/10/2025

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