MICHELLE MARGUERITE GONZALEZ (NPI# 1457776163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457776163 |
| Entity Type | Individual |
| Full Name | MICHELLE MARGUERITE GONZALEZ |
| Other Name | MICHELLE MARGUERITE PANCHAK |
| Credential | APRN |
| Practice Address |
18 Clearview Dr South Windsor CT 06074-2230 |
| Practice Telephone | 8608432012 |
| Mailing Telephone | (860) 593-4630 |
| Enumeration Date | 2014-03-04 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 005680 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
5680 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
005680 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
005680 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 80 Seymour Street, Hartford Hospital Surgery Dept, Hartford, CT 061025037 | 8609724670 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669089728 | Michelle Gonzalez | Behavior Technician | 9360 N Name Uno Ste 250, Gilroy, CA 95020-3535 | 2020-09-23 |
| 1730709866 | Michelle Gonzalez | Licensed Practical Nurse | 7906 N 39th St, Augusta, MI 49012-9714 | 2020-04-18 |
| 1215419254 | Michelle Lee Gonzalez | Early Intervention Provider Agency | 106 Seneca St, Staten Island, NY 10310-2334 | 2018-09-06 |
| 1629506076 | Michelle Lynn Gonzalez | Chore Provider | 4009 Yucca Ave, Mcallen, TX 78504-5220 | 2017-05-30 |
| 1548522931 | Michelle Renee Gonzalez | Dentist | 1616 Winding Shore Dr, Gulf Breeze, FL 32563-7000 | 2012-06-12 |
| 1992024848 | Michelle Gonzalez | General Practice | Carretera 941 Salida Barrio Jaguas, Neomed Center, Guarabo, PR 00778 | 2010-05-18 |
| 1538496013 | Michelle L Gonzalez | Counselor | 1525 E 17th St, Unit B, Santa Ana, CA 92705-8521 | 2009-11-04 |
| 1174729420 | Michelle Gonzalez | Optometrist | 1 S.w. 129th Ave, Ste 209, Pembroke Pines, FL 33027 | 2007-06-25 |
| 1457479685 | Michelle Yvette Gonzalez | Physical Therapist | 2483 2nd St, Ste D, Eagle Pass, TX 78852-4390 | 2007-03-26 |
| 1447378781 | Michelle Jo Gonzalez | Dentist | 1721 5th Ave, San Rafael, CA 94901-1820 | 2007-03-26 |
| Street Address |
18 CLEARVIEW DR |
| City | SOUTH WINDSOR |
| State | CT |
| Zip Code | 06074-2230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174144919 | Russo Therapeutics, LLC | Occupational Therapist | 561 King Street, South Windsor, CT 06074 | 2020-05-04 |
| 1144706631 | Chana Judith Hoagland | Nurse Practitioner | 276 Quarry Brook Drive, South Windsor, CT 06074 | 2018-07-17 |
| 1093203291 | Climb Medical Group LLC | Counselor | 828 Sullivan Ave Ste A, South Windsor, CT 06074 | 2018-04-24 |
| 1528506516 | William P Guinan, Md and Associates LLC | Obstetrics & Gynecology | 25 Oakland Road, South Windsor, CT 06074 | 2017-02-09 |
| 1487027678 | Nadine Caron | Nurse Practitioner | 34 Pleasant Valley Rd, South Windsor, CT 06074 | 2015-11-10 |
| 1275957920 | Ellen Carol Ronsivalli | Dietitian, Registered | 70 High Street, South Windsor, CT 06074 | 2014-02-14 |
| 1881036457 | Chandra Yellinedi | Pharmacist | 55 Frazer Fir, South Windsor, CT 06074 | 2013-07-24 |
| 1144665969 | Brian Thomas Moy | Internal Medicine | 2400 Tamarack Ave Ste 101, South Windsor, CT 06074 | 2013-05-07 |
| 1093072886 | Lydia Lormand | Obstetrics & Gynecology | 2600 Tamarack Ave Ste 200, South Windsor, CT 06074 | 2012-04-18 |
| 1578847307 | International Institute for Professional Development, LLC | Social Worker | 435 Buckland Hills Road, South Windsor, CT 06074 | 2011-09-28 |
| Find all providers in zip 06074 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255956421 | Thomas Lorbie Thomson IIi | Nurse Practitioner | Va Connecticut Healthcare, 950 Campbell Avenue, Mail Code: 11acsl1, Building 2b, West Haven, CT 06516 | 2020-06-12 |
| 1427689660 | Sajini M Roy | Nurse Practitioner | 172 Guinea Rd, Monroe, CT 06468-1044 | 2020-01-27 |
| 1073171393 | Sabine Donato Dabady | Nurse Practitioner | 287 Capitol Ave, Waterbury, CT 06705-2407 | 2019-06-01 |
| 1720599541 | Sherifa Bello | Nurse Practitioner | 1333 Burnside Ave Apt A3, East Hartford, CT 06108-1517 | 2017-10-19 |
| 1750808994 | Ronald S. Perpetua | Nurse Practitioner | 107 Bassett Rd, North Haven, CT 06473-1902 | 2017-08-28 |
| 1891247805 | Campbell Medical Care, LLC | Nurse Practitioner | 22 Parkwood Dr, Windsor, CT 06095-3142 | 2016-10-26 |
| 1861745259 | Marguerite Kalowsky Benoit | Nurse Practitioner | 187 Bouton St W, Stamford, CT 06907-1320 | 2012-10-22 |
| 1396977997 | Debra Innes Coyle | Nurse Practitioner | 85 Huckleberry Ln, Southington, CT 06489-4319 | 2009-08-14 |
| 1487727228 | Leeanne E Shaw-quinn | Nurse Practitioner | 30 Hyde Ave Ste 109, Vernon, CT 06066-4503 | 2006-11-17 |
| 1184648925 | Karen S Williams | Nurse Practitioner | 25 Witch Meadow Rd, Salem, CT 06420-3602 | 2006-07-26 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH WINDSOR |
| Zip Code | 06074 |
Please comment or provide details below to improve the information on MICHELLE MARGUERITE GONZALEZ.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.