| Doctor Name: | ROBYN GONZALES |
| NPI Number: | 1063815827 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 5007236 |
| Business Practice Address: | 4503 Old Monroe Rd Indian Trail, NC - 280795309 |
| Business Phone Number: | 7048216900 |
| Business Fax Number: | 7048216911 |
| Mailing Address: | Po Box 601888, CHARLOTTE |
| State: | NC |
| Postal Code: | 282601888 |
| Phone Number: | 7048216900 |
| Fax Number: | 7048216911 |
| NPI Enumeration Date: | 10/07/2014 |
| NPI Last Update Date: | 04/09/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 5007236 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |