Individual
AMANDA ALYSSA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4101 S STAPLES ST, CORPUS CHRISTI, TX 78411-5501
(361) 883-8001
(361) 814-0000
Mailing address
2510 E MAIN ST STE 102, ALICE, TX 78332-4188
(361) 664-4445
(361) 664-4449
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP141810
TX
Other
Enumeration date
06/23/2019
Last updated
10/04/2022
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