Provider Demographics
NPI:1831998970
Name:GONZALES, MERCEDES E (DNP, APRN, FNP-BC)
Entity type:Individual
Prefix:
First Name:MERCEDES
Middle Name:E
Last Name:GONZALES
Suffix:
Gender:
Credentials:DNP, APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12176 N MOPAC EXPY STE D
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78758-2908
Mailing Address - Country:US
Mailing Address - Phone:512-981-7246
Mailing Address - Fax:512-981-7246
Practice Address - Street 1:12176 N MOPAC EXPY STE D
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78758-2908
Practice Address - Country:US
Practice Address - Phone:512-981-7246
Practice Address - Fax:512-981-7246
Is Sole Proprietor?:No
Enumeration Date:2025-03-11
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1178738363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily