Individual
ALICIA Y GONZALES-LONGORIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2350 SHADOW RIDGE DR, GERING, NE 69341
(308) 633-6202
(308) 633-6203
Mailing address
2350 SHADOW RIDGE DR, GERING, NE 69341-1643
(308) 633-6202
(308) 633-6203
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
111555
NE
363LP2300X
Primary Care Nurse Practitioner
111555
NE
Other
Enumeration date
07/25/2013
Last updated
11/08/2018
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