Individual
SAMANTHA LAURIE GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
8915 W CONNELL AVE, MILWAUKEE, WI 53226-3067
(414) 266-2000
Mailing address
6215 WALNUT LN UNIT 38, CUDAHY, WI 53110-3459
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
17769-033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174485130
—
WI
Enumeration date
11/28/2025
Last updated
12/31/2025
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