Individual
NICOLE ELIZABETH GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2055 KIMBALL AVE, SUITE 101, WATERLOO, IA 50702-5047
(319) 272-2112
(319) 272-2107
Mailing address
5410 MARYLAND WAY STE 300, BRENTWOOD, TN 37027-5339
(615) 371-4423
(319) 272-2107
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
56116
AZ
207Q00000X
Family Medicine Physician
R-10211
IA
Other
Enumeration date
06/08/2015
Last updated
03/25/2019
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