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
Mailing address87 Northern Blvd, Shirley, NY 11967-2320

Other providers in Shirley