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Individual

MS. DARLENE NICKOL GONZALES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
8705 ROBBY AVE SW, ALBUQUERQUE, NM 87121-9007
(505) 270-4255
Mailing address
8705 ROBBY AVE SW, ALBUQUERQUE, NM 87121-9007
(505) 270-4255

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN-73898
NM
163WH0200X
Home Health Registered Nurse
RN-73898
NM
207Q00000X
Family Medicine Physician
79294
NM
261QP2300X
Primary Care Clinic/Center
363LF0000X
Family Nurse Practitioner
Primary
79294
NM
374U00000X
Home Health Aide
376J00000X
Homemaker

Other

Enumeration date
10/20/2014
Last updated
10/08/2024
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