Individual
MS. DORIS KAY GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
4005 HIGH RESORT BLVD SE, PMG RIO RANCHO HIGH RESORT 4005, RIO RANCHO, NM 87124-5906
(505) 462-6000
Mailing address
4005 HIGH RESORT BLVD SE, PMG RIO RANCHO HIGH RESORT 4005, RIO RANCHO, NM 87124-5906
(505) 462-6000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP01425
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06972365
—
NM
05
—
100411810C
—
KS
Enumeration date
06/24/2005
Last updated
10/24/2014
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