Individual
CECILIO PARROCHA GONZALES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN,FNP-C, PMHNP-BC
Contact information
Practice address
2820 W CHARLESTON BLVD STE D40, LAS VEGAS, NV 89102-1942
(725) 205-0288
(725) 204-9792
Mailing address
7521 SLIPPER ORCHID ST, LAS VEGAS, NV 89148-2616
(619) 259-7118
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
F95003567
CA
363LF0000X
Family Nurse Practitioner
Primary
002915
NV
363LF0000X
Family Nurse Practitioner
2169
HI
363LF0000X
Family Nurse Practitioner
F340204-1
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
002915
NV
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
2169
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1871947291
—
NV
05
—
250010762
—
NV
Enumeration date
04/21/2016
Last updated
06/12/2024
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