Provider Demographics
NPI:1528663754
Name:GONZALES, VALERIE (APRN, FNP)
Entity type:Individual
Prefix:MS
First Name:VALERIE
Middle Name:
Last Name:GONZALES
Suffix:
Gender:F
Credentials:APRN, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3500 MAPLE AVE STE 108
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75219-3906
Mailing Address - Country:US
Mailing Address - Phone:214-526-3566
Mailing Address - Fax:214-947-8580
Practice Address - Street 1:3500 MAPLE AVE STE 108
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75219-3906
Practice Address - Country:US
Practice Address - Phone:214-526-3566
Practice Address - Fax:214-947-8580
Is Sole Proprietor?:No
Enumeration Date:2020-12-04
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1022597363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily