MARLO ROSE GONZALES (NPI# 1821621004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821621004 |
| Entity Type | Individual |
| Full Name | MARLO ROSE GONZALES |
| Credential | NURSE PRACTITIONER |
| Practice Address |
4588 Paradise Blvd Nw Albuquerque NM 87114-4105 |
| Practice Telephone | 5059981717 |
| Mailing Telephone | 5059981717 |
| Enumeration Date | 2020-02-17 |
| Last Update Date | 2020-02-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
59031 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4588 PARADISE BLVD NW |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87114-4105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982014718 | Christopher Steven Myers | Family Medicine | 4588 Paradise Blvd Nw, Albuquerque, NM 87114-4105 | 2014-05-01 |
| 1285159996 | Denise M Mayuga | Registered Nurse | 4588 Paradise Blvd Nw, Albuquerque, NM 87114-4105 | 2017-08-03 |
| 1144684317 | Christina Abagail Armijo | Nurse Practitioner | 4588 Paradise Blvd Nw, Albuquerque, NM 87114-4105 | 2016-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891331773 | Head To Toe Wellness, LLC | Counselor | 4619 Greene Ave, Suite D, Albuquerque, NM 87114 | 2019-11-26 |
| 1255896353 | 32 Degrees Genuine, LLC | Counselor | 10143 4th St Nw, Albuquerque, NM 87114 | 2019-02-04 |
| 1548789365 | Maureen Chavez | Occupational Therapist | 10501 Golf Course, Albuquerque, NM 87114 | 2017-09-13 |
| 1982149043 | Professional Case Coordination Services LLC | Case Management | 4401 Aspen Glade Dr Nw, Albuquerque, NM 87114 | 2016-12-28 |
| 1124494323 | Geri Davis | Nurse Practitioner | 10511 Golf Course Rd Nw Ste 203, Albuquerque, NM 87114 | 2015-08-11 |
| 1427432111 | Marcia Nicole Cowen | Nurse Practitioner | 9210 Golfcourse Rd Nw, Albuquerque, NM 87114 | 2015-07-13 |
| 1013315399 | Amy Brown | Counselor | 707 Broadway Blvd. Ne, Suite 500, Albuquerque, NM 87114 | 2014-12-18 |
| 1851793392 | Elaine Barbara Beckett | Pharmacist | 10224 Coors-by-pass Nw, Albuquerque, NM 87114 | 2014-09-16 |
| 1174924344 | Sherrica Cressor | Counselor | 20 Pond Road, County Road 11, Cuba, NM 87114 | 2014-09-08 |
| 1427467513 | Colleen Temkin | Pharmacist | 10224 Coors By Pass Nw, Albuquerque, NM 87114 | 2014-08-04 |
| Find all providers in zip 87114 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942808126 | Compassion Docs LLC | Nurse Practitioner | 8100 Wyoming Blvd Ne Ste M-4302, Albuquerque, NM 87113-1946 | 2020-10-11 |
| 1598398216 | Melissa Rose Pino | Nurse Practitioner | 10855 Firenze Dr Nw, Albuquerque, NM 87114-5287 | 2020-02-20 |
| 1043857410 | Elizabeth F Baca | Nurse Practitioner | 2502 Marble Ave, Albuquerque, NM 87131-0001 | 2019-12-04 |
| 1356358477 | Mary Louise Blankenship | Nurse Practitioner | 3200 La Orilla Rd Nw, Albuquerque, NM 87120-2742 | 2006-08-02 |
| 1023620143 | Chona Miller | Nurse Practitioner | 1500 Lomas Blvd Nw, Albuquerque, NM 87104-1200 | 2020-08-19 |
| 1831708924 | Pala Nicole Rivera | Nurse Practitioner | 1110 Pennsylvania St Ne Ste B, Albuquerque, NM 87110-7404 | 2020-07-24 |
| 1205398484 | Deborah Anne Ruiz | Nurse Practitioner | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 | 2019-04-04 |
| 1184196446 | Dawn Annmarie Vigil | Nurse Practitioner | 401 San Mateo Blvd Se, Albuquerque, NM 87108-2921 | 2018-12-27 |
| 1356811384 | Jacqueline Messier | Nurse Practitioner | 2929 Coors Blvd Nw, Albuquerque, NM 87120-1173 | 2018-12-03 |
| 1811483266 | Diana E Krenz | Nurse Practitioner | 9101 Montgomery Blvd Ne, Albuquerque, NM 87111-2405 | 2018-07-09 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87114 |
Please comment or provide details below to improve the information on MARLO ROSE GONZALES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.