Gonzales, Doris Kay
Gonzales, Doris Kay is an individual health care provider with primary practice located at 4005 High Resort Blvd Se Pmg Rio Rancho High Resort 4005, Rio Rancho NM 87124-5906. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Gonzales, Doris Kay can be contacted via phone (505) 462-6000.Contact Information
Primary practice address
4005 High Resort Blvd Se Pmg Rio Rancho High Resort 4005
Rio Rancho NM 87124-5906
Phone: (505) 462-6000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | CNP01425 | New Mexico |
Profile Details
| NPI number | 1992701759 |
|---|---|
| LBN Legal business name | Gonzales, Doris Kay |
| Credentials | Certified Nurse Practitioner (CNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 24th, 2005 |
| Last updated | Oct 24th, 2014 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992701759 | NPPES |
| Kansas | MEDICAID | 100411810C | |
| Kansas | MEDICAID | 06972365 |
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