Individual
MICHELLE L GOSNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2540 HAUSER ROSS DR, SYCAMORE, IL 60178-3148
(779) 777-7335
(815) 758-8441
Mailing address
1625 BETHANY RD, SYCAMORE, IL 60178-3124
(779) 777-7335
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209020890
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
209020890
IL
Other
Enumeration date
10/26/2019
Last updated
10/02/2024
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