Individual
AMY CATHLEEN GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN,FNP,PMHNP
Contact information
Practice address
10 W BROADWAY FL 7, SALT LAKE CITY, UT 84101-2060
(917) 634-5311
Mailing address
97078 N 3620 RD, PADEN, OK 74860-7132
(210) 842-3574
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
14204040-4405
UT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
407494
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
C-APN.0103760-C-NP
CO
Other
Enumeration date
07/29/2009
Last updated
02/02/2026
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