IXAH XOCHITL GONZALEZ GALLEGOS
NPI 1104681147
Registered Nurse - Emergency in Estes Park, CO
Active since February 19, 2024
About Ixah Xochitl Gonzalez Gallegos NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IXAH XOCHITL GONZALEZ GALLEGOS (NPI 1104681147) is an individual emergency provider in Estes Park, Colorado, licensed in Colorado (1636265) and active in the NPI registry since February 2024.
NPPES Registry Identity
NPI1104681147
Entity TypeIndividualMale
Primary Taxonomy163WE0003X
Provider Legal NameIXAH XOCHITL GONZALEZ GALLEGOS
Location Address555 PROSPECT AVEEstes Park, CO 80517-6312
Mailing Address555 Prospect AveEstes Park, CO 80517-6312 · (970) 405-1320
Phone(970) 405-1320
Sole ProprietorYes
Enumeration DateFebruary 19, 2024
NPPES CertifiedFebruary 19, 2024
✔ NPI 1104681147 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · EmergencyNursing Service Providers
Taxonomy Code163WE0003X
License✔ Licensed in CO · 1636265
555 PROSPECT AVE, Estes Park, CO 80517
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104681147, enumerated as an "individual" on February 19, 2024.
The provider is located at 555 PROSPECT AVE ESTES PARK, CO 80517 and the phone number is (970) 405-1320.
Registered Nurse with taxonomy code 163WE0003X and a focus in Emergency.
