Gonzales, Gladys Joana

Gonzales, Gladys Joana is an individual health care provider with primary practice located at 2273 E Gala St Suite 100, Meridian ID 83642-7289. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Gonzales, Gladys Joana can be contacted via phone (208) 898-8999.

Contact Information

Primary practice address
2273 E Gala St Suite 100 Meridian ID 83642-7289
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA-694 Idaho

Profile Details

NPI number 1588850812
LBN Legal business name Gonzales, Gladys Joana
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2007
Last updated Sep 20th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers