Doctor Name: | KIMBERLY GOSLINGA |
NPI Number: | 1033598636 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | A124969 |
Business Practice Address: | 201 E 11th St Spencer, IA - 513014436 |
Business Phone Number: | 8002425101 |
Business Fax Number: | |
Mailing Address: | 201 E 11th St, SPENCER |
State: | IA |
Postal Code: | 513014436 |
Phone Number: | 8002425101 |
Fax Number: | |
NPI Enumeration Date: | 05/28/2015 |
NPI Last Update Date: | 05/24/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | A124969 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |