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Autumn Gonzales — NPI 1073275756, Los Alamos, NM | NPI Central

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Autumn Gonzales

NPI 1073275756 · Medical Physician Assistant · Los Alamos, NM

Provider details

NPI number: 1073275756
Entity type: Individual
Primary specialty: Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Sex: Female
Sole proprietor: Yes

Specialties & taxonomies

Medical Physician AssistantPrimary363AM0700XLicense PA2023-0240 (NM)
Physician Assistants & Advanced Practice Nursing Providers
Student in an Organized Health Care Education/Training Program390200000X
Student, Health Care

Practice location

3917 West Rd Ste a

Los Alamos, NM 87544-2292

Phone: (505) 661-8900

Approximate (ZIP-level) locationGet directions

More NM providers

Mailing address

3917 West Rd Ste a

Los Alamos, NM 87544-2292

Additional practice locations (1)

1500 N Renaissance Blvd Ne Ste C
Albuquerque, NM 87107-7002
Phone: (505) 266-5565

Registry dates

Enumerated: 2021-10-09
Last updated: 2023-08-09
Certified: 2023-08-09

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.