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ASHLEY L GOSS APN

>> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1982979720

Individual Registrant:
 ASHLEY L GOSS APN
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1 MERCY WAY STE 20  BELLA VISTA, AR 72714 US
Tel: 479-802-5555  Fax: 479-876-2829

Contact information for business:
1 MERCY WAY STE 20  BELLA VISTA, AR 72714-3000 US
Tel: 479-802-5555  Fax: 479-876-2829

Registration Information:
NPI: 1982979720
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N363L00000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
ARA003654
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
ARA003654

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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