Individual provider · Type 1 NPI

Chanel Gates, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · Pleasant Grove, UT

NPI number 1356167985 Active

Practice location

1221 S Valley Grove Way Ste 160
Pleasant Grove, UT 84062-6758

Mailing address

3005 S Connor St
Salt Lake City, UT 84109-2401

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X10196181-4405 (UT)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1356167985

Chanel Gates, PMHNP-BC's National Provider Identifier is 1356167985, issued on Nov 27, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Pleasant Grove, UT. The record was last updated on Nov 27, 2024.