# MS. CARYN SUE GONZALES

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1376524967
- **Gender:** F
- **Credential:** ANP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LF0000X | Family Nurse Practitioner | 858 | AK | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 858 | AK | Yes |

## Other

- **Enumeration date:** 11/10/2005
- **Last updated:** 07/28/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1022580 | — | AK |