# MARY ANN GOUVEIA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1699042945
- **Gender:** F
- **Credential:** NNP-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LN0000X | Neonatal Nurse Practitioner | APRN9457263 | FL | Yes |
| 363LN0000X | Neonatal Nurse Practitioner | RN103886 | GA | — |
| 363LN0005X | Critical Care Neonatal Nurse Practitioner | RN103886 | GA | — |

## Other

- **Enumeration date:** 11/30/2011
- **Last updated:** 10/22/2020

## 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 |