Individual
AIMEE MARIE GOSELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, FNP
Contact information
Practice address
2828 E BARNETT RD, MEDFORD, OR 97504-8342
(541) 842-6413
(458) 225-9637
Mailing address
2828 E BARNETT RD, MEDFORD, OR 97504-8342
(541) 842-6413
(458) 225-9637
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201900710
OR
163W00000X
Registered Nurse
705588
CA
363LF0000X
Family Nurse Practitioner
Primary
201900778
OR
363LF0000X
Family Nurse Practitioner
95008389
CA
Other
Enumeration date
02/05/2015
Last updated
03/19/2019
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