Provider Demographics
NPI:1861375511
Name:GONZALEZ, SHELBY DANIELLE (CPNP-PC)
Entity type:Individual
Prefix:MRS
First Name:SHELBY
Middle Name:DANIELLE
Last Name:GONZALEZ
Suffix:
Gender:F
Credentials:CPNP-PC
Other - Prefix:
Other - First Name:SHELBY
Other - Middle Name:DANIELLE
Other - Last Name:NAVA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4114 WINCHESTER CV
Mailing Address - Street 2:
Mailing Address - City:CONVERSE
Mailing Address - State:TX
Mailing Address - Zip Code:78109-0738
Mailing Address - Country:US
Mailing Address - Phone:915-920-5098
Mailing Address - Fax:
Practice Address - Street 1:6735 FM 78 STE 102
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78244-1368
Practice Address - Country:US
Practice Address - Phone:210-888-9960
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-29
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1207880363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics