Gonzales, Michele Aida Dominque
Gonzales, Michele Aida Dominque is an individual health care provider with primary practice located at 900 East Hamilton Ave Ste 220, Campbell CA 95008. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Perinatal. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Gonzales, Michele Aida Dominque can be contacted via phone (408) 371-7111.Contact Information
Primary practice address
900 East Hamilton Ave Ste 220
Campbell CA 95008
Phone: (408) 371-7111
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | NMW1038 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | RN443870 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Perinatal | 363LP1700X | RN443870 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 7189 | California |
Profile Details
| NPI number | 1568523835 |
|---|---|
| LBN Legal business name | Gonzales, Michele Aida Dominque |
| Credentials | Certified Nurse Midwife (CNM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 12th, 2006 |
| Last updated | Jul 29th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568523835 | NPPES |
| California | MEDICAID | RN443870 |
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