Individual
BRYAN JOHN GOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACNP
Contact information
Practice address
12303 DEPAUL DR, BRIDGETON, MO 63044-2512
(314) 344-6000
Mailing address
12303 DEPAUL DR, BRIDGETON, MO 63044-2512
(314) 344-6000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2025039856
MO
363LF0000X
Family Nurse Practitioner
107699
WV
363LF0000X
Family Nurse Practitioner
ARNP9374626
FL
363LG0600X
Gerontology Nurse Practitioner
107699
WV
364SE0003X
Emergency Clinical Nurse Specialist
107699
WV
Other
Enumeration date
09/15/2016
Last updated
11/20/2025
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