Individual
MARISA BETH GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, APRN, PMHNP-BC
Contact information
Practice address
8207 MIRAR PASS, SAN ANTONIO, TX 78255-3313
(850) 218-4663
Mailing address
8207 MIRAR PASS, SAN ANTONIO, TX 78255-3313
(850) 218-4663
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2024073444
TX
Other
Enumeration date
09/11/2024
Last updated
09/11/2024
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