Individual
ELEANOR GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC/ ACCNS-AG
Contact information
Practice address
9300 DEWITT LOOP, FORT BELVOIR, VA 22060-5285
(571) 231-3224
Mailing address
9300 DEWITT LOOP, FORT BELVOIR, VA 22060-5285
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
R192035-5
MN
363LA2100X
Acute Care Nurse Practitioner
Primary
10572
MN
Other
Enumeration date
03/27/2015
Last updated
08/16/2023
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