Individual
MS. DENISE W GOSSETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
301 E 4TH ST, VILLISCA, IA 50864-1146
(712) 826-4422
(712) 826-2052
Mailing address
PO BOX 498, RED OAK, IA 51566-0498
(712) 623-7000
(712) 826-2052
Taxonomy
Speciality
Code
Description
License number
State
364SF0001X
Family Health Clinical Nurse Specialist
Primary
A129234
IA
364SF0001X
Family Health Clinical Nurse Specialist
R687235
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
129234
IOWA BOARD OF NURSING LICENSE, REGISTERED NURSE
IA
01
—
MG2489587
CONTROLLED SUBSTANCES REGISTRATION CERTIFICATE
—
Enumeration date
01/03/2008
Last updated
05/23/2019
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