MR. MARANATHA GONZALEZ FNP-BC
NPI 1265091714
Nurse Practitioner - Family in North Chesterfield, VA
Active since June 09, 2019
About Mr. Maranatha Gonzalez Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. MARANATHA GONZALEZ FNP-BC (NPI 1265091714) is an individual family provider in North Chesterfield, Virginia, licensed in Virginia (0024177650) and active in the NPI registry since June 2019.
NPPES Registry Identity
NPI1265091714
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. MARANATHA GONZALEZCredential: FNP-BC
Location Address5538 ZION RIDGE TERNorth Chesterfield, VA 23234-4595
Mailing Address5538 Zion Ridge TerNorth Chesterfield, VA 23234-4595 · (804) 937-4990
Phone(804) 937-4990
Sole ProprietorYes
Enumeration DateJune 9, 2019
✔ NPI 1265091714 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in VA · 0024177650
5538 ZION RIDGE TER, North Chesterfield, VA 23234
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1265091714, enumerated as an "individual" on June 09, 2019.
The provider is located at 5538 ZION RIDGE TER NORTH CHESTERFIELD, VA 23234 and the phone number is (804) 937-4990.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
