Individual
MS. JUDITH ANN GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
8460 BIRCHWOOD COURT SUITE 700, JOHNSTON, IA 50131
(515) 229-2318
(515) 214-1946
Mailing address
2213 GRAND AVE, DES MOINES, IA 50312-5305
(515) 237-3974
(515) 883-2692
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
G-079336
IA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
G079336
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1164725339
BCBS
IA
05
—
1932468634
—
IA
Enumeration date
12/09/2010
Last updated
09/09/2025
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