Individual
REBECCA ANNE GOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
1705 E BROADWAY STE 280, COLUMBIA, MO 65201-7185
(573) 815-7119
(573) 815-7119
Mailing address
1705 E BROADWAY STE 280, COLUMBIA, MO 65201-7185
(573) 815-7119
(573) 815-7119
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1999136900
MO
363L00000X
Nurse Practitioner
Primary
2018027758
MO
363LF0000X
Family Nurse Practitioner
1999136900
MO
Other
Enumeration date
03/21/2018
Last updated
04/02/2020
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