MRS. LISSETTE MARIE GONZALEZ MSN AGACNP-BC NPI 1649988650

NPI Information

  • NPI: 1649988650
  • Provider Name: MRS. LISSETTE MARIE GONZALEZ, MSN, AGACNP-BC
  • Classification: Nurse Practitioner - 363LA2100X
  • Specialization: Acute Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4321 SW 160TH AVE APT 104
    MIRAMAR, FL
    ZIP 33027
  • Phone: (954) 604-5144

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NPI Details

MRS. Lissette Marie Gonzalez, MSN, AGACNP-BC is an acute care nurse practitioner in Miramar, FL with 3 years of experience. MRS. Lissette Marie Gonzalez, MSN, AGACNP-BC NPI is 1649988650. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4321 SW 160TH AVE APT 104
MIRAMAR, FL
ZIP 33027-763
Phone: (954) 604-5144

The NPI 1649988650 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/8/2022 and was last updated on 11/28/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2100XNurse PractitionerAcute Care11022678FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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