Gonzales, Kristine

Gonzales, Kristine is an individual health care provider with primary practice located at 2801 Atlantic Ave , Long Beach CA 90806-1701. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Gonzales, Kristine can be contacted via phone (562) 933-2000.

Contact Information

Primary practice address
2801 Atlantic Ave Long Beach CA 90806-1701
Phone: (562) 933-2000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 95000542 California

Profile Details

NPI number 1114301199
LBN Legal business name Gonzales, Kristine
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2015
Last updated Sep 22nd, 2015 - about 11 years 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 1114301199 NPPES
California Other 95000542 PNP LICENSE

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