Individual
REBECCA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
520 NW 5TH ST, BRAINERD, MN 56401-2902
(218) 829-3235
Mailing address
520 NW 5TH ST, BRAINERD, MN 56401-2902
(218) 829-3235
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5963
MN
Other
Enumeration date
07/15/2018
Last updated
07/15/2018
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