Individual
AMANDA W GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,WHNP,BS
Contact information
Practice address
191 EAST PRICE ROAD, BROWNSVILLE, TX 78523-9988
(956) 621-3593
(956) 621-3689
Mailing address
1706 TREASURE HILLS BLVD, HARLINGEN, TX 78550-8911
(956) 365-6000
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
AP109736
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0415796-01
—
TX
01
—
82N897
BLUE CROSS
TX
Enumeration date
05/27/2005
Last updated
09/16/2021
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