Individual
MISS ANA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
5301 BROADWAY, WEST NEW YORK, NJ 07093-2622
(201) 866-9320
Mailing address
6115 GRANTON AVE APT 6A, NORTH BERGEN, NJ 07047-3313
(973) 573-1244
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ01131700
NJ
Other
Enumeration date
04/09/2021
Last updated
04/09/2021
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