Individual
NYDIA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
470 MAPLE AVE, HARTFORD, CT 06114-1215
(860) 695-7730
Mailing address
25 TIMOTHY TER, WINDSOR, CT 06095-1653
(860) 833-7283
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
004978
CT
Other
Enumeration date
04/06/2014
Last updated
04/06/2014
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