Individual
DIANE DOROTHY GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
10600 MASTIN ST, OVERLAND PARK, KS 66212-5723
(913) 469-6447
(913) 338-1311
Mailing address
PO BOX 741331, ATLANTA, GA 30374-1331
(913) 469-0503
(913) 469-5267
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1490870082
KS
163W00000X
Registered Nurse
2002019680
MO
363L00000X
Nurse Practitioner
Primary
53-46102
KS
Other
Enumeration date
10/05/2007
Last updated
01/29/2018
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