Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Angela Marie Gonzalez, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1316454994

MS. Angela Marie Gonzalez, FNP-BC is a Nurse Practitioner in Prescott Valley, Arizona. Qualified in 2017, 9 years ago. Practices with Southwest I.d. and Medical Clinic, Lc, a 2-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
9
Licensed in
AZ
In the registry since
2018
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

3235 N Windsong Dr
Prescott Valley, AZ 86314-1222
Phone: (928) 772-3340
Fax: (928) 759-9611
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP10860 (AZ)

Record details

NPI number1316454994
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedJanuary 4, 2018
Last updated in NPPESSeptember 7, 2023
Certification dateSeptember 7, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Southwest I.D. And Medical Clinic, Lc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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