| Bonnie Jane Gonzales, CNM | |
|
2057-2 Watchman Drive, B2122, Fort Defiance, AZ 86504 | |
| (907) 947-1206 | |
| Not Available |
| Full Name | Bonnie Jane Gonzales |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 2057-2 Watchman Drive, Fort Defiance, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548891005 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | (* (Not Available)) | Primary |
| Entity Name | Intermountain Medical Group Denver, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083021083 PECOS PAC ID: 0840513552 Enrollment ID: O20150106000131 |
| Mailing Address | Practice Location Address |
|---|---|
| Bonnie Jane Gonzales, CNM 2057-2 Watchman Drive, B2122, Fort Defiance, AZ 86504 Ph: (907) 947-1206 | Bonnie Jane Gonzales, CNM 2057-2 Watchman Drive, B2122, Fort Defiance, AZ 86504 Ph: (907) 947-1206 |
Brigette Mastel, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000 | |
Linda R Barnes, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: Corner Of Route N12 And N7, Fort Defiance Indian Hospital, Inc, Fort Defiance, AZ 86504 Phone: 928-729-8798 | |
Dana Claire Brewer, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000 | |
Jennifer Vail, Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000 | |
Ms. Courtney Cathleen Steer-massaro, C.N.M., F.N.P.-C. Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000 | |
Carol Mcconnell Stout, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: Corner Of Rt N12 And Rt N 7, Fort Defiance, AZ 86504 Phone: 928-729-8798 Fax: 928-729-8794 | |
Ms. Dorothy Hazel Mora, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8770 |