Individual
MRS. SHANNON MARIE GOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
4500 UTICA RIDGE RD, BETTENDORF, IA 52722-1626
(309) 779-5000
Mailing address
PO BOX 336, RAPIDS CITY, IL 61278-0336
(309) 779-5000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A162967
IA
Other
Enumeration date
04/11/2021
Last updated
02/17/2022
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