Individual
DIEGO HUGO GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
12921 S VISTA STATION BLVD, DRAPER, UT 84020-2376
(801) 687-1020
Mailing address
1055 N 500 W, ATTN CREDENTIALING, PROVO, UT 84604
(801) 354-8225
(801) 418-0941
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10222776-4405
UT
390200000X
Student in an Organized Health Care Education/Training Program
10222776-4405
UT
Other
Enumeration date
08/05/2021
Last updated
03/03/2025
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