Individual
GEORGIALEE GOULD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
503 BRIDGE ST STE 2, NEW CUMBERLAND, PA 17070-1972
(717) 774-8400
Mailing address
521 N MOUNTAIN RD, HARRISBURG, PA 17112-2369
(717) 602-4604
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
SP024682
PA
Other
Enumeration date
11/01/2021
Last updated
11/03/2021
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