Individual
MARIA GWEN GALLEGOS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1209 W TARGET RANGE RD, NOGALES, AZ 85621-2466
(520) 287-4747
(520) 285-3135
Mailing address
839 W CONGRESS ST, TUCSON, AZ 85745-2819
(520) 792-9890
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN037699
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
516362
—
AZ
Enumeration date
01/17/2006
Last updated
06/01/2018
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