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NPI Code Detail

MEDICARE: ERIN K GONZALEZ APNP

MEDICARE:   ERIN K GONZALEZ  APNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner6051-33WI
2363LP0808XPsychiatric/Mental Health Nurse Practitioner6051-33WI
3363L00000XNurse Practitioner6051-33WI

General Provider Information

NPI Number : 1205225125
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIN K GONZALEZ APNP
Provider Business Mailing Address
First Line : 4425 N PORT WASHINGTON RD
Second Line :
City : GLENDALE
State : WI
Zip : 53212-1082
Country : US
Telephone Number : 414-326-2218
Fax Number : 414-326-2208
Provider Business Practice Location Address
First Line : 4425 N PORT WASHINGTON RD
Second Line :
City : GLENDALE
State : WI
Zip : 53212-1082
Country : US
Telephone Number : 414-326-2218
Fax Number : 414-326-2208
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2015
Last Update Date : 02/21/2025

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Directions to “ ERIN K GONZALEZ APNP” Practice Location

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