Individual
KATHIE ANN GONZALES
Active
Individual
KATHIE ANN GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
3383662
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3073238 00
—
FL
01
—
Y087M
BCBSF
FL
Enumeration date
02/27/2006
Last updated
12/11/2012
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