Gonzales, Caryn Sue

Gonzales, Caryn Sue is an sole proprietor health care provider with primary practice located at 16720 E Maud Rd , Palmer AK 99645-7520. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Gonzales, Caryn Sue can be contacted via phone (907) 631-3684.

Contact Information

Primary practice address
16720 E Maud Rd Palmer AK 99645-7520
Phone: (907) 631-3684
Fax: (907) 707-1212
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 858 Alaska
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 858 Alaska

Profile Details

NPI number 1376524967
LBN Legal business name Gonzales, Caryn Sue
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 10th, 2005
Last updated Jul 28th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376524967 NPPES
Alaska MEDICAID 1022580

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