Individual
MRS. RAMONA LYNN GOOLSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
601 SE WASHINGTON ST, IDABEL, OK 74745-3319
(580) 286-6699
(580) 286-6699
Mailing address
601 SE WASHINGTON ST, IDABEL, OK 74745-3319
(580) 286-6688
(580) 286-6699
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
594059
TX
363LF0000X
Family Nurse Practitioner
Primary
R0058803
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200086610-A
—
OK
Enumeration date
05/03/2006
Last updated
06/20/2012
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