Individual
DIANE F GOULD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
500 GYPSY LN, YOUNGSTOWN, OH 44504-1315
(330) 884-3679
(330) 884-3691
Mailing address
3622 BELMONT AVE, SUITE 1, YOUNGSTOWN, OH 44505-1450
(330) 759-9350
(330) 759-9387
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN130977
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
NA-00047
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0764436
—
OH
Enumeration date
05/15/2006
Last updated
04/13/2011
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