Shivanna Subramani Gonzalez, DNP
NPI #1457758179 in Wolcott, Connecticut
Provider Information
- NPI Number
- 1457758179
- Entity Type
- Individual
- Name
- Shivanna Subramani Gonzalez, DNP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- DNP
- Enumeration Date
- Nov 24, 2014
- Last Updated
- May 12, 2023
Practice Location
- Address
- 504 WOLCOTT RD
- City
- Wolcott
- State
- Connecticut
- ZIP Code
- 06716-2461
- Phone
- (203) 725-5339
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
| Nurse Practitioner - Primary Care — Primary Care |
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Organizations
| Provider Name | |
|---|---|
| The Modern Woman Health & Wellness Center Pllc |
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