Individual
GARRETT THOMAS GOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, BSN, NIH
Contact information
Practice address
2135 SOUTHGATE RD, COLORADO SPRINGS, CO 80906-2693
(719) 329-5300
Mailing address
2620 GRAND VISTA CIR APT 110, COLORADO SPRINGS, CO 80904-5253
(214) 726-6105
(469) 533-8668
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
980416
TX
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
980416
TX
163WH0200X
Home Health Registered Nurse
1667133
CO
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
980416
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
980416
REGISTERED NURSE LIC. TEXAS BON (ORIGINAL ISSUING AGENCY)
TX
01
—
NJDCATEMP-000803
REGISTERED PROFESSIONAL NURSE
NJ
01
—
RN.1667133
REGISTERED NURSE LICENSE
CO
Enumeration date
02/03/2020
Last updated
04/24/2020
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