Gonzales, Marlo Rose
Gonzales, Marlo Rose is an sole proprietor health care provider with primary practice located at 4588 Paradise Blvd Nw , Albuquerque NM 87114-4105. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Gonzales, Marlo Rose can be contacted via phone (505) 998-1717.Contact Information
Primary practice address
4588 Paradise Blvd Nw
Albuquerque NM 87114-4105
Phone: (505) 998-1717
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 59031 | New Mexico |
Profile Details
| NPI number | 1821621004 |
|---|---|
| LBN Legal business name | Gonzales, Marlo Rose |
| Credentials | NURSE PRACTITIONER |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 17th, 2020 |
| Last updated | Feb 17th, 2020 - about 5 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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