Grant, Amber Gonzalez

Grant, Amber Gonzalez is an individual health care provider with primary practice located at 3289 N Mayfair Rd , Wauwatosa WI 53222-3203. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Grant, Amber Gonzalez can be contacted via phone (414) 771-7900.

Contact Information

Primary practice address
3289 N Mayfair Rd Wauwatosa WI 53222-3203
Phone: (414) 771-7900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4234-33 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4234 Wisconsin

Profile Details

NPI number 1386944122
LBN Legal business name Grant, Amber Gonzalez
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2010
Last updated Feb 8th, 2024 - about 9 months 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 1386944122 NPPES
Wisconsin MEDICAID 100013675

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