Gonzalez, Melva
Gonzalez, Melva is an individual health care provider with primary practice located at 105 W Griggs Ave , Las Cruces NM 88001. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Licensed Vocational Nurse, Nursing Service Providers / Licensed Practical Nurse. Nursing Service Providers / Licensed Practical Nurse is her primary health care specialty. Gonzalez, Melva can be contacted via phone (575) 647-2800.Contact Information
Primary practice address
105 W Griggs Ave
Las Cruces NM 88001
Phone: (575) 647-2800
Fax: (575) 647-2898
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Licensed Vocational Nurse | 164X00000X | 215817 | Texas |
Nursing Service Providers / Licensed Practical Nurse | 164W00000X | LPN-23455 | New Mexico |
Profile Details
NPI number | 1033630306 |
---|---|
LBN Legal business name | Gonzalez, Melva |
Credentials | Licensed Practical Nurse (LPN) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 27th, 2017 |
Last updated | Aug 24th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1033630306 | NPPES |
New Mexico | MEDICAID | 60131390 |
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