IndividualActive
Edgardo Gatbonton
NPI 1174233647 · Emergency Registered Nurse · Fort Defiance, AZ
Provider details
- NPI number
- 1174233647
- Entity type
- Individual
- Primary specialty
- Emergency Registered NurseNursing Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 2020008187 (MO)
Specialties & taxonomies
Nursing Service Providers
Practice location
Corner Route 7 and Route 12
Fort Defiance, AZ 86504
Phone: (928) 729-8000
Approximate (ZIP-level) locationGet directions
Mailing address
11743 Northpointe Blvd Apt 1124
Tomball, TX 77377-5595
Registry dates
- Enumerated
- 2022-11-25
- Last updated
- 2022-11-25
- Certified
- 2022-11-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.