Individual provider · Type 1 NPI
Marilyn Celine Gonzalez, PA
Medical Physician Assistant · Charlotte, NC
NPI number
1831874502
Active
Practice location
1000 Blythe Blvd
Charlotte, NC 28203-5812
Mailing address
26333 S Ivy Ln
Channahon, IL 60410-3336
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | None listed |
Medical Physician Assistant: Definition to come...
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About NPI 1831874502
Marilyn Celine Gonzalez, PA's National Provider Identifier is 1831874502, issued on Jun 20, 2023. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Charlotte, NC. The record was last updated on Oct 4, 2024.