Individual
NANCY NATALIE GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4675 W 20TH STREET RD UNIT B, GREELEY, CO 80634-3260
(970) 373-4625
(970) 431-5999
Mailing address
4675 W 20TH STREET RD UNIT B, GREELEY, CO 80634-3260
(970) 373-4625
(970) 431-5999
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000142069
—
CO
Enumeration date
10/04/2016
Last updated
12/28/2023
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