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XENIA S GONZALEZ FNP
>> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1881633691
Individual Registrant: XENIA S GONZALEZ FNP
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
1363 W SPRUCE AVE WASILLA, AK 99654-5327 US
Tel: 907-376-2411 Fax: 907-352-3363
Tel: 907-376-2411 Fax: 907-352-3363
Contact information for business:
1363 W SPRUCE AVE WASILLA, AK 99654-5327 US
Tel: 907-376-2411 Fax: 907-352-3363
Tel: 907-376-2411 Fax: 907-352-3363
Registration Information:
NPI: 1881633691
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | AK | 874 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
