Susan Gonzalez CNP

NPI 1457506677 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1457506677
Gender Female
Enumeration Date 12/02/2008
Last Updated 12/14/2009
Entity Type Individual
Active Over 8 years ago
Practice Location
205 N EAST AVE
JACKSON MI, 49201-1753, US
Phone (517) 788-4730
Fax (517) 788-4701
Business Location
205 N EAST AVE
JACKSON MI, 49201-1753, US
Phone (517) 788-4730
Fax (517) 788-4701
Toxanomy
Taxonomy Code 363L00000X
License State Michigan
License Number 4704227423
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According to our database, Susan Gonzalez CNP NPI is 1457506677, taxonomy code is 363L00000X and license number is 4704227423, license state is located at Michigan. Susan Gonzalez CNP physically located at 205 N East Ave, Jackson MI, 49201-1753. NPI Number Susan Gonzalez CNP has the Individual type.

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1457506677 NPI number is provided on an as is basis without warranty of any kind. 1457506677 is maintained by the National Plan & Provider Enumeration System. The contents of Susan Gonzalez CNP are for informational purposes only.