Individual
MS. CARYN SUE GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
16720 E MAUD RD, PALMER, AK 99645-7520
(907) 631-3684
(907) 707-1212
Mailing address
PO BOX 2649, PALMER, AK 99645-2649
(907) 631-3684
(907) 707-1212
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
858
AK
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
858
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1022580
—
AK
Enumeration date
11/10/2005
Last updated
07/28/2015
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