Alida Pena Gonzalez, ARNP
Nurse Practitioner, Family in Wauchula, FL. Individual provider (NPI-1).
NPI number1982173845
StatusActive
Last updated in NPPESJan 14, 2020
Details
- NPI
- 1982173845
- Entity type
- Individual (NPI-1)
- Name
- Alida Pena Gonzalez
- Credential
- ARNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 20, 2018
- Certification date
- Jan 14, 2020
- Last updated
- Jan 14, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | APRN11000014 | FL | Yes |
Practice location
515 Carlton StWauchula, FL 33873-3407
Phone 863-773-6606 · Fax 863-773-9542
Mailing address
882 Terrier DrZolfo Springs, FL 33890-9516
Phone 786-280-8495
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All 7 Family Nurse Practitioner providers in Wauchula · All 221 providers in Wauchula
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