Individual
LAURA IRENE GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
525 S CENTER ST, HARTFORD, MI 49057-1362
(269) 463-3600
Mailing address
525 S CENTER ST, HARTFORD, MI 49057-1362
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704312241
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704312241
MICHIGAN NURSING LICENSE (NP)
MI
Enumeration date
02/11/2021
Last updated
12/01/2023
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