MICHELLE MARGUERITE GONZALEZ APRN NPI 1457776163

NPI Information

NPI: 1457776163
Provider Name: MICHELLE MARGUERITE GONZALEZ, APRN
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

Address:
18 CLEARVIEW DR
SOUTH WINDSOR, CT
ZIP 06074
Phone: (860) 843-2012
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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 Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), 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
1	363L00000X	Nurse Practitioner		005680	CONNECTICUT	No
2	363LA2100X	Nurse Practitioner	Acute Care	5680	CONNECTICUT	No
3	363LA2200X	Nurse Practitioner	Adult Health	005680	CONNECTICUT	No
4	363LG0600X	Nurse Practitioner	Gerontology	005680	CONNECTICUT	Yes

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: 4/28/2024

NPI Synchronization or Removal

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