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Contact Information

CAMILLE M GONZALES, CNP
454 ST MICHAELS DR STE 200
SANTA FE, NM87505-7602
 Phone: 505-303-5000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for CAMILLE M GONZALES · (Female)

NPI # 1093703985
Status Active
Credentials CNP (Certified Nurse Practitioner)
Entity Individual
Enumeration date 10/13/2005
Last updated 04/13/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • NM License # CNP00843
  • NM License # R38444
  • NM Medicaid 54704316
Hospital affiliation(s)
  • ST VINCENT HOSPITAL - (Acute Care)
    455 ST MICHAEL'S DRIVE
    SANTA FE, NM 87505
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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