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

Nathaniel Gonzales

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1760212807

Nathaniel Gonzales is a Student in an Organized Health Care Education/Training Program in Fayetteville, Arkansas. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

1125 N College Ave
Fayetteville, AR 72703-1908
Phone: (210) 846-8174
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1760212807
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 5, 2024
Last updated in NPPESAugust 5, 2024
Certification dateAugust 4, 2024
Mailing address5051 W Highland Knolls Rd Apt 218, Rogers, AR 72758-3072

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