Individual
MS. GEORGIANA SUE GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
4400 BROADWAY BLVD STE 400, KANSAS CITY, MO 64111-3342
(816) 932-0288
(816) 932-7490
Mailing address
901 E 104TH ST, KANSAS CITY, MO 64131-4517
(816) 932-0288
(816) 932-7490
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2021043564
MO
Other
Enumeration date
03/09/2022
Last updated
09/07/2022
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