Gonzales, Judith Ann

Gonzales, Judith Ann is an individual health care provider with primary practice located at 1001 Office Park Rd Suite 113, West Des Moines IA 50265-2587. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Adult, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Gonzales, Judith Ann can be contacted via phone (515) 277-7370.

Contact Information

Primary practice address
1001 Office Park Rd Suite 113 West Des Moines IA 50265-2587
Phone: (515) 277-7370
Fax: (515) 277-0102
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X G-079336 Iowa
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X G079336 Iowa

Profile Details

NPI number 1164725339
LBN Legal business name Gonzales, Judith Ann
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2010
Last updated Apr 6th, 2022 - about 2 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 1164725339 NPPES
Iowa Other 1164725339 BCBS
Iowa MEDICAID 1932468634 BCBS

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