Individual
CHRISTINA GONZALEZ-WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
W.H.N.P, M.S.N.
Contact information
Practice address
2240 COLISEUM DR STE B, HAMPTON, VA 23666-5903
(757) 838-7277
Mailing address
860 OMNI BLVD STE 101, NEWPORT NEWS, VA 23606-4430
(757) 232-8769
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024166275
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0024166275
LICENSE
VA
Enumeration date
08/06/2008
Last updated
10/29/2019
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