Provider Demographics
NPI:1306293592
Name:GONZALEZ, CHRISTY ANN (NP)
Entity type:Individual
Prefix:
First Name:CHRISTY
Middle Name:ANN
Last Name:GONZALEZ
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4300 N POINT PKWY STE 300
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30022-4102
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:127 OLD HIGHWAY 96 STE B
Practice Address - Street 2:
Practice Address - City:BONAIRE
Practice Address - State:GA
Practice Address - Zip Code:31005-3461
Practice Address - Country:US
Practice Address - Phone:478-352-7143
Practice Address - Fax:478-352-7144
Is Sole Proprietor?:No
Enumeration Date:2016-05-18
Last Update Date:2025-04-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GARN205616363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily