Individual
EMILY ELAINE GOUCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, WHNP-BC
Contact information
Practice address
1233 W POPLAR ST, ROGERS, AR 72756
(479) 636-9235
Mailing address
1233 W POPLAR ST, ROGERS, AR 72756-4245
(479) 636-9235
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
A004907
AR
Other
Enumeration date
09/28/2016
Last updated
09/03/2019
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