Individual
DR. VANESHA VASIAN GOFFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-BC
Contact information
Practice address
6901 SECURITY BLVD STE 200, WINDSOR MILL, MD 21244-2412
(410) 837-2050
Mailing address
3510 BRENBROOK DR, RANDALLSTOWN, MD 21133-4902
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
6929
MN
363LF0000X
Family Nurse Practitioner
Primary
R245734
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6929
—
MN
05
—
R245734
—
MD
Enumeration date
09/14/2019
Last updated
01/11/2024
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