Individual
MARINA C GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-NP
Contact information
Practice address
3210 AVENUE B, SCOTTSBLUFF, NE 69361-4303
(308) 630-0800
Mailing address
190226 UNIVERSITY ST, SCOTTSBLUFF, NE 69361-5752
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
115096
NE
Other
Enumeration date
11/08/2023
Last updated
12/09/2023
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