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

AUTUMN MARIE GONZALES

Active Sole Proprietor

AUTUMN MARIE GONZALES is a Medical Physician Assistant healthcare provider located in LOS ALAMOS, New Mexico. NPI 1073275756 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · LOS ALAMOS, NM

Registration Details

NPI Number
1073275756
Provider Type
Individual
Gender
Female
NPI Issued
Oct 9, 2021 (4.6628459578544 yrs)
Last Updated
Aug 9, 2023
License
PA2023-0240 (NM)
Sole Proprietor
Yes

Practice Information

Address
3917 WEST RD STE A
LOS ALAMOS, NM, 875442292
Browse NM providers · Browse ZIP 87544
Phone
5056618900
Primary Specialty
Medical Physician Assistant
363AM0700X
Additional Specialty
Medical Physician Assistant

Other Medical Physician Assistant Providers in LOS ALAMOS, NM

Name Credential NPI
STEVEN WAYNE HARRIS PA 1922066455
MARY LORING DAGGETT PHYSICIAN ASSISTANT 1265551469
MRS. LINDA TAYLOR P.A. 1487962031
MRS. MICHELLE CERTIK PA-C 1124512207
ELIZABETH ABAGAIL MIDYETTE PA-C 1427605682
HANNAH KARSTEN PA-C 1184264368
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.