Individual
MS. NICOLE R GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
35 N ESTRELLA PKWY, GOODYEAR, AZ 85338-4690
(623) 846-7558
(623) 846-1674
Mailing address
1661 E CAMELBACK RD STE 200, PHOENIX, AZ 85016-3913
(602) 422-9000
(602) 556-5951
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
RN186831
AZ
367A00000X
Advanced Practice Midwife
Primary
267062
AZ
367A00000X
Advanced Practice Midwife
TEMP267062
AZ
Other
Enumeration date
07/18/2014
Last updated
06/22/2022
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