Individual
RHONDA A GOFORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2012 S PARK AVE, ALEXANDRIA, IN 46001-8194
(765) 724-6226
Mailing address
2012 S PARK AVE, ALEXANDRIA, IN 46001-8194
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
28154100A
IN
363LF0000X
Family Nurse Practitioner
Primary
71005110A
IN
Other
Enumeration date
08/15/2014
Last updated
04/19/2023
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