Individual
BETTY ANN GOULD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, FNP
Contact information
Practice address
HC 65 BOX 164, KANARRAVILLE, UT 84742-6502
(801) 931-0063
Mailing address
HC 65 BOX 164, KANARRAVILLE, UT 84742-6502
(801) 931-0063
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
318108
CA
163W00000X
Registered Nurse
5158098-3102
UT
163W00000X
Registered Nurse
RN63613
NV
363LF0000X
Family Nurse Practitioner
Primary
5158098-4405
UT
363LF0000X
Family Nurse Practitioner
RN63613
NV
Other
Enumeration date
07/26/2015
Last updated
09/24/2024
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