Individual
BRAD GOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
9140 W POST RD, 100, LAS VEGAS, NV 89148-2435
(702) 405-2210
Mailing address
9140 W POST RD, 100, LAS VEGAS, NV 89148-2435
(702) 405-2210
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN26746
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN26746
RN LICENSE
NV
Enumeration date
10/28/2013
Last updated
10/28/2013
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