Individual
VICKI JO GOULD-KLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN MSN ACNP-BC
Contact information
Practice address
1216 WASHINGTON AVE, PORT HURON, MI 48060-3555
(810) 982-1111
(810) 982-8848
Mailing address
1216 WASHINGTON AVE, PORT HURON, MI 48060-3555
(810) 982-1111
(810) 982-8848
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
4704134425
MI
363L00000X
Nurse Practitioner
Primary
4704134425
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700995719
—
MI
Enumeration date
08/30/2006
Last updated
08/22/2016
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