Gonzalez, Teresa D.

Gonzalez, Teresa D. is an individual health care provider with primary practice located at 3501 Carriage Hill Dr Ste B , Paragould AR 72450-5329. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Gonzalez, Teresa D. can be contacted via phone (870) 573-2200.

Contact Information

Primary practice address
3501 Carriage Hill Dr Ste B Paragould AR 72450-5329
Phone: (870) 573-2200
Fax: (870) 573-2300
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X A03399ANP Arkansas

Profile Details

NPI number 1639481450
LBN Legal business name Gonzalez, Teresa D.
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2010
Last updated Nov 28th, 2022 - about 2 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 1639481450 NPPES
Arkansas MEDICAID 184459758

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