Individual
NICOLE E GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1 UNIVERSITY OF NEW MEXICO, MSC09 5030, ALBUQUERQUE, NM 87131-1641
(505) 272-5428
Mailing address
1 UNIVERSITY OF NEW MEXICO, MSC09 5030, ALBUQUERQUE, NM 87131
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
RN-79382
NM
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
68855
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/16/2022
Last updated
06/08/2023
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