Individual
KRISTIN HARBAUGH GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
3000 NEW BERN AVE, RALEIGH, NC 27610-1231
(919) 350-8000
Mailing address
PO BOX 603949, CHARLOTTE, NC 28260-3949
(919) 350-0351
(919) 350-7687
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
183545
NC
363L00000X
Nurse Practitioner
Primary
5003519
NC
363LN0000X
Neonatal Nurse Practitioner
5003519
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467632281
—
NC
Enumeration date
11/08/2007
Last updated
04/28/2023
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