Individual
MAYRA LIZBETH GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1227 E RUSHOLME ST, DAVENPORT, IA 52803-2459
(563) 421-1000
Mailing address
2613 COUNTRY RDG, MUSCATINE, IA 52761-9602
(563) 299-8115
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
G175419
IA
Other
Enumeration date
07/12/2023
Last updated
07/12/2023
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