Provider Demographics
NPI:1720719198
Name:BIGGS, ELIZABETH GONZALEZ
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:GONZALEZ
Last Name:BIGGS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16814 W RIO VISTA LN
Mailing Address - Street 2:
Mailing Address - City:GOODYEAR
Mailing Address - State:AZ
Mailing Address - Zip Code:85338-7408
Mailing Address - Country:US
Mailing Address - Phone:602-380-6514
Mailing Address - Fax:
Practice Address - Street 1:16814 W RIO VISTA LN
Practice Address - Street 2:
Practice Address - City:GOODYEAR
Practice Address - State:AZ
Practice Address - Zip Code:85338-7408
Practice Address - Country:US
Practice Address - Phone:602-380-6514
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-17
Last Update Date:2022-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education