Ms Nicole R Gonzales, CNM | |
35 N Estrella Pkwy, Goodyear, AZ 85338-4690 | |
(623) 846-7558 | |
(623) 846-1674 |
Full Name | Ms Nicole R Gonzales |
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Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 35 N Estrella Pkwy, Goodyear, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508273848 | NPI | - | NPPES |
Entity Name | Arizona Obgyn Affiliates, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750589404 PECOS PAC ID: 7911094040 Enrollment ID: O20071106000295 |
Mailing Address | Practice Location Address |
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Ms Nicole R Gonzales, CNM 1661 E Camelback Rd Ste 200, Phoenix, AZ 85016-3913 Ph: (602) 422-9000 | Ms Nicole R Gonzales, CNM 35 N Estrella Pkwy, Goodyear, AZ 85338-4690 Ph: (623) 846-7558 |
Tracy Lee Burns, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1170 N Estrella Pkwy Ste A107, Goodyear, AZ 85338 Phone: 623-846-7558 Fax: 623-846-1674 | |
Jessica Lynne Olano, CERTIFIED NURSE MIDW Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 35 N Estrella Pkwy, Goodyear, AZ 85338 Phone: 623-846-7558 Fax: 623-846-1674 | |
Kendell Lincoln, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 35 N Estrella Pkwy, Goodyear, AZ 85338 Phone: 623-846-7558 |