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Individual
MARY ANN GOUVEIA
Active
Individual
MARY ANN GOUVEIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
APRN9457263
FL
363LN0000X
Neonatal Nurse Practitioner
RN103886
GA
363LN0005X
Critical Care Neonatal Nurse Practitioner
RN103886
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003118310A
—
GA
01
—
01470759
AMERIGROUP
GA
01
—
0335D
BLUE CROSS BLUE SHIELD
FL
05
—
100978700
—
FL
01
—
650686
WELLCARE
GA
01
—
KH583
MEDICARE
FL
Enumeration date
11/30/2011
Last updated
10/22/2020
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