Individual
ELOISE MARIA GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
150 N MAIN ST, MANCHESTER, CT 06042-2086
(860) 528-1359
(860) 291-8990
Mailing address
150 N MAIN ST, MANCHESTER, CT 06042-2086
(860) 528-1359
(860) 291-8990
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
12.010540
CT
Other
Enumeration date
04/14/2022
Last updated
10/23/2024
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