Individual
MARIAELENA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
103 LIVINGSTON LOOP STE B4, SANTA TERESA, NM 88008-9747
(915) 888-9115
(915) 995-4972
Mailing address
103 LIVINGSTON LOOP STE B4, SANTA TERESA, NM 88008-9747
(915) 888-9115
(915) 995-4972
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
678490
TX
363LF0000X
Family Nurse Practitioner
CNP-02301
NM
Other
Enumeration date
09/14/2009
Last updated
09/11/2024
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