Doctor Name: | CAMI G. GOUCHER |
NPI Number: | 1659624757 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | C.N.P. |
License Number: | COA13937NP |
Business Practice Address: | 944 Cherry St E Canal Fulton, OH - 446148669 |
Business Phone Number: | 3308544574 |
Business Fax Number: | 3308540829 |
Mailing Address: | 944 Cherry St E, CANAL FULTON |
State: | OH |
Postal Code: | 446148669 |
Phone Number: | 3308544574 |
Fax Number: | 3308540829 |
NPI Enumeration Date: | 10/26/2012 |
NPI Last Update Date: | 11/01/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | COA13937NP |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |