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Individual

ELIZABETH GOCHENOUR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ACNP

Contact information

Practice address
1300 JEFFERSON PARK AVE, CHARLOTTESVILLE, VA 22903-3363
(434) 924-5078
(434) 924-8118
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
(434) 295-1000
(434) 972-4266

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0024170398
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0024170398
VA
Enumeration date
10/05/2012
Last updated
12/28/2018
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