Gonzales, Maureen F

Gonzales, Maureen F is an individual health care provider with primary practice located at 1520 Sunday Dr , Raleigh NC 27607-5253. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Gonzales, Maureen F can be contacted via phone (919) 420-1653.

Contact Information

Primary practice address
1520 Sunday Dr Raleigh NC 27607-5253
Phone: (919) 420-1653
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 470 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 5004821 North Carolina

Profile Details

NPI number 1891901559
LBN Legal business name Gonzales, Maureen F
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2007
Last updated Apr 1st, 2021 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891901559 NPPES
North Carolina MEDICAID 7004535

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