Individual
ELLEN CRYSTAL GOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4790 E CAMP LOWELL DR, TUCSON, AZ 85712-1275
(520) 319-5922
(520) 319-6128
Mailing address
4790 E CAMP LOWELL DR, TUCSON, AZ 85712-1275
(520) 319-5922
(520) 319-6128
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP4508
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
714721
—
AZ
Enumeration date
07/12/2012
Last updated
05/04/2016
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