JOE GONZALES ARNP NPI 1336790070

NPI Information

NPI: 1336790070
Provider Name: JOE GONZALES, ARNP
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Individual

Specialization: Primary Care

PECOS Registration: Yes

Address:
515 W MAIN ST
ELMA, WA
ZIP 98541
Phone: (360) 861-8700
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Joe Gonzales, ARNP is a primary care nurse practitioner in Elma, WA with 2 years of experience. Joe Gonzales, ARNP NPI is 1336790070. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

515 W MAIN ST
ELMA, WA
ZIP 98541-285
Phone: (360) 861-8700

The NPI 1336790070 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/24/2019 and was last updated on 2/15/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP2300X	Nurse Practitioner	Primary Care	AP61417695	WASHINGTON	Yes
2	163W00000X	Registered Nurse		RN00166711	WASHINGTON	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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