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Mrs. Idalia Itali Urias Gonzales, FNP-C
Family Nurse Practitioner in Phoenix, Arizona
NPI 1598409971

Idalia Itali Urias Gonzales is a Family Nurse Practitioner based in Phoenix, AZ and is specialized in Family. Idalia Itali Urias Gonzales practices in Phoenix, AZ and has the professional credentials of FNP-C. The NPI Number for Idalia Itali Urias Gonzales is 1598409971 and holds a License No. 274028 (Arizona).

The current practice location address for Idalia Itali Urias Gonzales is 1130 E Missouri Ave, Phoenix, AZ and can be reached out via phone at 602-283-4711 and via fax at 602-671-4260.

Location: 1130 E Missouri Ave, Phoenix, AZ, 85014-2718
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Provider Profile Details
NPI Number
1598409971
Provider Name
Idalia Itali Urias Gonzales
Credential
FNP-C
Provider Entity Type
Individual
Gender
Female
Address
1130 E Missouri Ave, Phoenix, AZ, 85014-2718
Phone Number
602-283-4711
Fax Number
602-671-4260
Provider Enumeration Date
04/22/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
84-4869956 01 AZ IRS
institution
Provider Business Practice Location Address Details
Address
1130 E Missouri Ave
City
State
Zip
85014-2718
Phone Number
602-283-4711
Fax Number
602-671-4260
person
Provider Business Mailing Address Details
Address
1130 E Missouri Ave
City
State
Zip
85014-2718
Phone Number
602-283-4711
Fax Number
602-671-4260
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
274028 (Arizona)
Definition
Definition to come...
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