Individual
IVY MARIE GOSSELIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, CRNA
Contact information
Practice address
295 VARNUM AVE, LOWELL, MA 01854-2134
(978) 937-6235
(978) 937-6941
Mailing address
363 SALEM ST, WOBURN, MA 01801-2714
(781) 541-0206
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2286036
MA
367500000X
Certified Registered Nurse Anesthetist
Primary
148515
MA
Other
Enumeration date
01/28/2022
Last updated
06/04/2024
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