Individual
DIVINE GRACE GOROSPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
6824 BEVERLY BLVD EVERETT, EVERETT, WA 98203
(425) 583-7254
Mailing address
6824 BEVERLY BLVD EVERETT, EVERETT, WA 98203
(425) 583-7254
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP61537026
WA
Other
Enumeration date
02/29/2024
Last updated
02/29/2024
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