# MS. SANDRA LEE BROMMELAND GONZALEZ

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1053428342
- **Gender:** F
- **Credential:** APRN-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | AP 5139 | LA | Yes |

## Other

- **Enumeration date:** 08/24/2006
- **Last updated:** 01/27/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1022004 | — | LA |