Individual
VANESSA GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
4100 HIGH RESORT BLVD SE, RIO RANCHO, NM 87124-5901
(505) 559-6400
(505) 727-9590
Mailing address
PO BOX 26666, PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-6770
(505) 923-5354
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
69497
NM
363LF0000X
Family Nurse Practitioner
69497
NM
Other
Enumeration date
10/24/2022
Last updated
04/17/2023
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