Provider Demographics
NPI:1346983137
Name:GONZALEZ, MARISSA JANE (APRN, FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:MARISSA
Middle Name:JANE
Last Name:GONZALEZ
Suffix:
Gender:F
Credentials:APRN, FNP-C
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Mailing Address - Street 1:PO BOX 749
Mailing Address - Street 2:
Mailing Address - City:PHARR
Mailing Address - State:TX
Mailing Address - Zip Code:78577-1614
Mailing Address - Country:US
Mailing Address - Phone:956-362-2250
Mailing Address - Fax:956-362-2251
Practice Address - Street 1:2717 MICHAELANGELO DR STE 101
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-1413
Practice Address - Country:US
Practice Address - Phone:956-362-2120
Practice Address - Fax:956-362-2251
Is Sole Proprietor?:No
Enumeration Date:2022-04-19
Last Update Date:2024-03-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX1071705363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily