Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Raven Gonzalez

Individual provider Licensed Practical Nurse · NPI 1083014294

Raven Gonzalez is a Licensed Practical Nurse in Shirley, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2014

Practice location Address checks out

87 Northern Blvd
Shirley, NY 11967-2320
Phone: (631) 357-6892
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 319600 (NY)

Record details

NPI number1083014294
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 26, 2014
Last updated in NPPESAugust 26, 2014

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