Individual
ARICA LYNNE GOGOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1119 N MILITARY HWY, NORFOLK, VA 23502-2415
(757) 240-3500
Mailing address
166 LAWAI RD, OREGON, OH 43616-2522
(419) 290-8612
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0037562
OH
363LF0000X
Family Nurse Practitioner
0024176261
VA
Other
Enumeration date
07/02/2018
Last updated
10/30/2024
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