Individual
CHRISTINE GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2739 E LAS VEGAS ST, COLORADO SPRINGS, CO 80906
(719) 390-2000
Mailing address
2739 E LAS VEGAS ST, COLORADO SPRINGS, CO 80906-1594
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
0993302
CO
363LG0600X
Gerontology Nurse Practitioner
0993302
CO
Other
Enumeration date
08/18/2017
Last updated
06/23/2018
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