Individual
CHANEL GATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
1221 S VALLEY GROVE WAY STE 160, PLEASANT GROVE, UT 84062-6758
(801) 477-7189
Mailing address
3005 S CONNOR ST, SALT LAKE CITY, UT 84109-2401
(801) 809-7145
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10196181-4405
UT
Other
Enumeration date
11/27/2024
Last updated
11/27/2024
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