MICHELLE MARGUERITE GONZALEZ APRN NPI 1457776163

NPI Information

  • NPI: 1457776163
  • Provider Name: MICHELLE MARGUERITE GONZALEZ, APRN
  • Classification: Nurse Practitioner - 363LG0600X
  • Specialization: Gerontology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 18 CLEARVIEW DR
    SOUTH WINDSOR, CT
    ZIP 06074
  • Phone: (860) 843-2012

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NPI Details

Michelle Marguerite Gonzalez, APRN is a gerontology nurse practitioner in South Windsor, CT. Michelle Marguerite Gonzalez, APRN NPI is 1457776163. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

18 CLEARVIEW DR
SOUTH WINDSOR, CT
ZIP 06074-230
Phone: (860) 843-2012

The NPI 1457776163 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 3/4/2014 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363L00000XNurse Practitioner005680CONNECTICUTNo
2363LA2100XNurse PractitionerAcute Care5680CONNECTICUTNo
3363LA2200XNurse PractitionerAdult Health005680CONNECTICUTNo
4363LG0600XNurse PractitionerGerontology005680CONNECTICUTYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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