Individual
MS. DONNA BUSH GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1210 N 5TH AVE, PHOENIX, AZ 85003-1225
(602) 257-3891
(602) 257-3923
Mailing address
1210 N 5TH AVE, PHOENIX, AZ 85003-1225
(602) 257-3891
(602) 257-3923
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN161408
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN161408
REGISTERED NURSE
AZ
Enumeration date
09/02/2010
Last updated
09/02/2010
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