Individual
MICHELLE MARGUERITE GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
18 CLEARVIEW DR, SOUTH WINDSOR, CT 06074-2230
(860) 843-2012
Mailing address
18 CLEARVIEW DR, SOUTH WINDSOR, CT 06074-2230
(860) 593-4630
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
005680
CT
363LA2100X
Acute Care Nurse Practitioner
5680
CT
363LA2200X
Adult Health Nurse Practitioner
005680
CT
363LG0600X
Gerontology Nurse Practitioner
Primary
005680
CT
Other
Enumeration date
03/04/2014
Last updated
07/21/2022
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