Individual
JOE GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
3622 ENSIGN RD NE, OLYMPIA, WA 98506-5081
(360) 742-5000
(360) 742-5019
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00166711
WA
363LF0000X
Family Nurse Practitioner
Primary
AP61417695
WA
363LP2300X
Primary Care Nurse Practitioner
AP61417695
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2141682
—
WA
Enumeration date
09/24/2019
Last updated
12/19/2025
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