Provider Demographics
NPI:1033820469
Name:GONZALES, DIONNE A (CNM, WHNP)
Entity type:Individual
Prefix:MRS
First Name:DIONNE
Middle Name:A
Last Name:GONZALES
Suffix:
Gender:F
Credentials:CNM, WHNP
Other - Prefix:MISS
Other - First Name:DIONNE
Other - Middle Name:A
Other - Last Name:HAWKINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6584 ELDERBERRY CT
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91739-1539
Mailing Address - Country:US
Mailing Address - Phone:323-407-1675
Mailing Address - Fax:
Practice Address - Street 1:6584 ELDERBERRY CT
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91739-1539
Practice Address - Country:US
Practice Address - Phone:323-407-1675
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-06
Last Update Date:2023-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95022829363LW0102X
CA236313367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health