Individual
MRS. FAITH E. GOUGE
Active
Individual
MRS. FAITH E. GOUGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
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
Update your record
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