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NPI Code Detail

MEDICARE: NATHAN GONZALEZ CRNA

MEDICARE: NATHAN GONZALEZ CRNA
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
1367500000XCertified Registered Nurse Anesthetist322584AZ
2367500000XCertified Registered Nurse Anesthetist95001320CA

General Provider Information

NPI Number : 1326669318
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATHAN GONZALEZ CRNA
Provider Business Mailing Address
First Line : 26520 CACTUS AVE
Second Line :
City : MORENO VALLEY
State : CA
Zip : 92555-3927
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6200 N LA CHOLLA BLVD
Second Line :
City : TUCSON
State : AZ
Zip : 85741-3529
Country : US
Telephone Number : 520-742-9000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/30/2020
Last Update Date : 01/23/2026

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Directions to “ NATHAN GONZALEZ CRNA” Practice Location

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