DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TANIA VILLICANA GONZALEZ, FNP

Active

Family Nurse Practitioner · SAN LUIS, AZ

Registration Details

NPI Number
1053123802
Provider Type
Individual
Gender
Female
NPI Issued
Jan 20, 2025 (1.2604277022426 yrs)
Last Updated
Jan 20, 2025
Licenses
RN191243 (AZ)
315531 (AZ)

Practice Information

Address
PO BOX 12716
SAN LUIS, AZ, 853496899
Browse AZ providers · Browse ZIP 85349
Phone
9287502019
Primary Specialty
Family Nurse Practitioner
363LF0000X
Additional Specialty
Family Nurse Practitioner

Other Family Nurse Practitioner Providers in SAN LUIS, AZ

Name Credential NPI
GREGORY ALLEN LARSON FNP-BC 1578536892
MR. RODOLFO VALENZUELA IV NP 1740367374
MR. STEVEN LEE COVINGTON FNP 1851413231
WILLIAM RUSSELL MCNAIR FNP 1780913236
MRS. LEAH K MCNAIR NP 1104128255
MRS. CLARISSE VANESSA NGUEHA-NANA 1356894240
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.