# GOSNELL FAMILY MEDICINE, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174951719
- **Authorized official:** DR. WENDY JO GOSNELL M.D. (PRESIDENT/OWNER)
- **Authorized official phone:** (308) 520-2694

## Contact information

- **Practice address:** 210 MCNEEL LN, NORTH PLATTE, NE 69101-6290
- **Practice address phone:** (308) 221-6262
- **Practice address fax:** (308) 221-6261
- **Mailing address:** 210 MCNEEL LN, NORTH PLATTE, NE 69101-6290
- **Mailing address phone:** (308) 221-6262
- **Mailing address fax:** (308) 221-6261

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 21972 | NE | Yes |

## Other

- **Enumeration date:** 10/16/2013
- **Last updated:** 10/20/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 10026366900 | — | NE |