Cecilli Renee Gonzales, NP
Individual provider Active NPI Family Nurse Practitioner · Willits, CA
NPI 1740098003 · NPPES record last updated Sep 4, 2026
Key facts
- NPI
- 1740098003
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 95041024 (CA)
- Practice address
- 3 Marcela Dr
Willits, CA 95490-5769 - Phone
- (707) 459-6115
- Fax
- (707) 456-9314
- NPI assigned
- Dec 19, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95098348 | CA | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95041024 | CA | Yes |
Addresses
Primary practice location
3 Marcela Dr
Willits, CA 95490-5769
Mailing address
3 Marcela Dr
Willits, CA 95490-5769
Phone (707) 459-6115
Other names
- Cecilli Kelley
Other providers in Willits, CA
- Aileen Kathleen Gaynor
- Emma Gilchrist
- John Richard Glyer
- Robin Goldner
- Blanca Gomez
- Jeffrey Laist Gore
- Barbra Long Gradus
- Susan Lea Gravier
- Pendry Haines
- Shawna Stuart Handschug
All providers in Willits, CA · Family Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 4, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.