Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 5010352 | NC |
Y | 363LW0102X | Nurse Practitioner - Women's Health | 5010352 | NC |
NPI | 1073915948 |
---|---|
Provider Name | Erin Danielle Gonzalez |
First Address | Asheville, NC 28803-2868 |
Second Address | Asheville, NC 28803-2868 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/09/2014 |
Last Update Date | 13/04/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
PENDING | (05) | NC |