Individual
ASHLEY BRIANNE GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1886 W 800 N, PLEASANT GROVE, UT 84062-4097
(801) 756-5288
Mailing address
1055 N. 500 W., ATTN CREDENTIALING, PROVO, UT 84604
(801) 354-8225
(801) 418-0941
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
8427268-4402
UT
Other
Enumeration date
12/23/2022
Last updated
12/23/2022
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