Taris Gonzalez is a Acute Care in Pendleton, Indiana. Taris Gonzalez practices all healthcare services and medical treatments related to Acute Care. The NPI Number for Taris Gonzalez is 1821290743. The last update date is 2023-11-27.
Taris Gonzalez's current location address is 8391 S Shady Trail Dr, Pendleton, Indiana. You can contact this provider via phone number 3177430009. The mailing address for Taris Gonzalez is 8391 S Shady Trail Dr, Pendleton, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Taris Gonzalez |
|---|---|
| Address | 8391 S Shady Trail Dr, Pendleton, Indiana |
| Phone Number | 3177430009 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1821290743 |
|---|---|
| Provider Enumeration Date | 2007-06-04 |
| Last Updated Date | 2023-11-27 |
Provider Mailing Address Detail
| Address | 8391 S Shady Trail Dr |
|---|---|
| City | Pendleton |
| State | Indiana (IN) |
| Post Code | 460648652 |
| Phone Number | 3177430009 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Acute Care |
|---|---|
| Taxonomy | 363La2100X |
| Licence No | 71001601 |
|
Definition: An advanced practice registered nurse expert in providing care to adults and older children with complex acute, critical, and chronic health conditions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P01170026 | IN | RR MEDICARE PTAN | |
| 200460280 | IN | -- |
Post Comment/ Review Below
What is the Taris Gonzalez's unique identification number?
The Taris Gonzalez has been assigned the NPI (National Provider Identifier) Number 1821290743 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Taris Gonzalez is physically located?
The Taris Gonzalez is physically situated at the following address: 8391 S Shady Trail Dr, Pendleton, IN, 460648652.
What is Taris Gonzalez's specialized field of practice, and what is the corresponding taxonomy classification code?
The Taris Gonzalez's area of specialization is Acute Care, and the corresponding taxonomy code that categorizes this field of practice is 363La2100X.
On what date did the Centers for Medicare & Medicaid Services issue the 1821290743 to Taris Gonzalez?
The Taris Gonzalez received its 1821290743 assignment from the Centers for Medicare & Medicaid Services on 2007-06-04.
As of what date was the information regarding Taris Gonzalez, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Taris Gonzalez, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-11-27.