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Individual

TARA GONZALES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
1861 E PARKS HWY, WASILLA, AK 99654-7350
(888) 227-3312
Mailing address
1861 E PARKS HWY, WASILLA, AK 99654-7350
(888) 227-3312

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
206920
AK
363LF0000X
Family Nurse Practitioner
AP8007
AZ

Other

Enumeration date
07/31/2015
Last updated
07/19/2023
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