Gallegos, Maria Gwen

Gallegos, Maria Gwen is an individual health care provider with primary practice located at 1209 W Target Range Rd , Nogales AZ 85621-2466. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Gallegos, Maria Gwen can be contacted via phone (520) 287-4747.

Contact Information

Primary practice address
1209 W Target Range Rd Nogales AZ 85621-2466
Phone: (520) 287-4747
Fax: (520) 285-3135
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN037699 Arizona

Profile Details

NPI number 1679552749
LBN Legal business name Gallegos, Maria Gwen
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2006
Last updated Jun 1st, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679552749 NPPES
Arizona MEDICAID 516362

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