Individual
MRS. FAITH E. GOUGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4755 OGLETOWN STANTON ROAD, NEWARK, DE 19718-1320
(302) 733-1000
(302) 733-2685
Mailing address
2 READS WAY, STE 201, NEW CASTLE, DE 19720-1630
(302) 709-4709
(302) 709-4551
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
L10029071
DE
363L00000X
Nurse Practitioner
LJ0000238
DE
367500000X
Certified Registered Nurse Anesthetist
Primary
L6-0A00690
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0133612
—
NJ
05
—
H13391900
—
MD
Enumeration date
06/06/2007
Last updated
04/25/2016
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