Individual
AMANDA R GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN, MSN
Contact information
Practice address
590 MEDICAL CENTER ROAD, FORT HOOD, TX 76544
(254) 553-6228
Mailing address
113 RONGE ST N, # 194, ROY, WA 98580
(971) 218-0414
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
61180410
WA
363LF0000X
Family Nurse Practitioner
Primary
1133397
TX
Other
Enumeration date
09/29/2021
Last updated
07/03/2025
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