Shivanna Subramani Gonzalez, DNP
Nurse Practitioner, Family in Wolcott, Connecticut
1457758179- Practice location
- 504 Wolcott RD, Wolcott, CT 06716-2461
- Phone
- 203-725-5339
- Fax
- —
- Last updated
- May 12, 2023
Shivanna Subramani Gonzalez is a Nurse Practitioner, Family based in Wolcott, CT. Shivanna Subramani Gonzalez practices in Wolcott, CT and has the professional credentials of DNP. The NPI Number for Shivanna Subramani Gonzalez is 1457758179 and holds a License No. 5993 (CT). The current practice location address for Shivanna Subramani Gonzalez is 504 Wolcott RD, Wolcott, CT 06716-2461 and can be reached out via phone at 203-725-5339.
Provider Profile Details
- NPI Number
- 1457758179
- Provider Name
- Shivanna Subramani Gonzalez
- Credential
- DNP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 504 Wolcott RD, Wolcott, CT 06716-2461
- Phone Number
- 203-725-5339
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Sole Proprietor
- Yes
- Other Names
- Shivanna Subramani (Other Name)
- Provider Enumeration Date
- November 24, 2014
- Last Update Date
- May 12, 2023
- Certification Date
- May 12, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 504 Wolcott RD
Wolcott, CT 06716-2461 - City
- Wolcott
- State
- Connecticut
- Zip
- 06716-2461
- Phone Number
- 203-725-5339
Provider Business Mailing Address Details
- Address
- 504 Wolcott RD Ste C
Wolcott, CT 06716-2462 - City
- Wolcott
- State
- CT
- Zip
- 06716-2462
- Phone Number
- 860-714-2913
- Fax Number
- 860-714-8988
License Information
- License Number (1)
- 5993
- License State (1)
- CT
- Taxonomy (1)
- Nurse Practitioner, Family · 363LF0000X
- License Number (2)
- 5993
- License State (2)
- CT
- Taxonomy (2)
- Nurse Practitioner, Primary Care · 363LP2300X
- License Number (3)
- 009553
- License State (3)
- CT
- Taxonomy (3)
- Nurse Practitioner, Family · 363LF0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Shivanna Subramani Gonzalez, DNP?
The NPI number of Shivanna Subramani Gonzalez, DNP is 1457758179. It was assigned on November 24, 2014 and is currently active in the NPPES registry.
What is the specialty of Shivanna Subramani Gonzalez, DNP?
Shivanna Subramani Gonzalez, DNP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in CT under license number 5993.
Where does Shivanna Subramani Gonzalez, DNP practice?
The practice location is 504 Wolcott RD, Wolcott, CT 06716-2461. The office can be reached at 203-725-5339 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1457758179 directly on the NPPES registry website.