Individual
DEBORAH L GOSNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3205 S MAIN ST, SANDY LAKE, PA 16145
(724) 376-7111
(724) 376-7165
Mailing address
100 SHENANGO AVE, SHARON, PA 16146-1503
(724) 376-7111
(724) 376-7165
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
TP004408B
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000517675
ANTHEM BCBS
OH
Enumeration date
05/19/2006
Last updated
07/21/2022
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