Individual provider · Type 1 NPI
Tiffany A. Gonzalo, CRNP
Family Nurse Practitioner · Roanoke, VA
NPI number
1700167822
Active
Practice location
4035 Electric Rd Ste B
Roanoke, VA 24018-8449
Fax (540) 772-2370
Mailing address
213 S Jefferson St Ste 1006
Roanoke, VA 24011-1713
Other practice locations
- 1229 3rd St SW, Roanoke, VA 24016-4611 · (540) 512-5200
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 0024185508 (VA) |
| Family Nurse Practitioner | 363LF0000X | SP011520 (PA) |
| Nurse Practitioner | 363L00000X | 0024185508 (VA) |
Family Nurse Practitioner: Definition to come...
2 other providers at this address
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- Laura Angle, FNP-CFamily Nurse Practitioner Roanoke, VA NPI 1033801436
About NPI 1700167822
Tiffany A. Gonzalo, CRNP's National Provider Identifier is 1700167822, issued on Sep 2, 2011. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Roanoke, VA. The record was last updated on Dec 18, 2025.