Individual
MS. KANDACE A. GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-1341
(570) 271-6028
(570) 271-5845
Mailing address
100 N ACADEMY AVE, CREDENTIALS DEPT, DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN556358
PA
363L00000X
Nurse Practitioner
Primary
SP011949
PA
Other
Enumeration date
02/25/2012
Last updated
08/13/2020
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