Individual
JUAN CARLOS GONZALEZ SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
6859 S EASTERN AVE STE 103, LAS VEGAS, NV 89119-0003
(702) 601-3771
Mailing address
6859 S EASTERN AVE STE 103, LAS VEGAS, NV 89119-0003
(702) 601-3771
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
823386
NV
363LF0000X
Family Nurse Practitioner
Primary
823386
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250028288
—
NV
Enumeration date
05/26/2015
Last updated
03/26/2025
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