Individual
MRS. ELSA MARIE GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, NP-C
Contact information
Practice address
200 EMILIO LOPEZ RD NW, LOS LUNAS, NM 87031-6818
(505) 866-2700
(505) 866-2701
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-6770
(505) 923-5354
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP-02354
NM
Other
Enumeration date
02/08/2014
Last updated
01/14/2016
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