Provider Demographics
NPI:1053992156
Name:GONZALEZ, LINDA JANE (CNP)
Entity type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:JANE
Last Name:GONZALEZ
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9775 ROCKSIDE RD
Mailing Address - Street 2:SUITE 270
Mailing Address - City:VALLEY VIEW
Mailing Address - State:OH
Mailing Address - Zip Code:44125-6275
Mailing Address - Country:US
Mailing Address - Phone:216-654-9300
Mailing Address - Fax:
Practice Address - Street 1:9775 ROCKSIDE RD
Practice Address - Street 2:SUITE 270
Practice Address - City:VALLEY VIEW
Practice Address - State:OH
Practice Address - Zip Code:44125-6275
Practice Address - Country:US
Practice Address - Phone:216-654-9300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-20
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.341166163WC0200X
OHAPRN.CNP.0028829363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine