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Taris Gonzalez, NP
Nurse Practitioner in Pendleton, Indiana
NPI 1821290743

Taris Gonzalez is a Nurse Practitioner based in Pendleton, IN. Taris Gonzalez practices in Pendleton, IN and has the professional credentials of NP. The NPI Number for Taris Gonzalez is 1821290743 and holds a License No. 71001601 (Indiana).

The current practice location address for Taris Gonzalez is 8391 S Shady Trail Dr, Pendleton, IN and can be reached out via phone at 317-507-2395.

Location: 8391 S Shady Trail Dr, Pendleton, IN, 46064-8652
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821290743
Provider Name
Taris Gonzalez
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
8391 S Shady Trail Dr, Pendleton, IN, 46064-8652
Phone Number
317-507-2395
Fax Number
Provider Enumeration Date
06/04/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P01170026 01 IN RR MEDICARE PTAN
200460280 05 IN
institution
Provider Business Practice Location Address Details
Address
8391 S Shady Trail Dr
City
Pendleton
State
Indiana
Zip
46064-8652
Phone Number
317-507-2395
Fax Number
person
Provider Business Mailing Address Details
Address
8391 S Shady Trail Dr
City
Pendleton
State
Indiana
Zip
46064-8652
Phone Number
317-507-2395
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
71001601A (Indiana)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
363LA2100X
License No.
71001601 (Indiana)
Definition
Definition to come...
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