Individual provider · Type 1 NPI

Cheryl Gonzalis

Licensed Practical Nurse · Jay, OK

NPI number 1104361096 Active

Practice location

859 E Melton Dr.
Jay, OK 74346

Call (918) 253-1759 Map

Fax (918) 253-6822

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XL0040074 (OK)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1104361096

Cheryl Gonzalis's National Provider Identifier is 1104361096, issued on Dec 30, 2016. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Jay, OK. The record was last updated on Dec 30, 2016.