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Individual

FAITH DANIELLE GOSA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
1700 6TH AVE S, BIRMINGHAM, AL 35233-1802
(205) 934-7310
Mailing address
2039 ADELSHIEM CIR SW, CULLMAN, AL 35055-5577
(205) 717-9544

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-176251
AL
363LF0000X
Family Nurse Practitioner
Primary
1-176251
AL

Other

Enumeration date
09/14/2020
Last updated
10/01/2022
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