Individual
PATRICIA F GOSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
50 MEDICAL PARK DR E, BIRMINGHAM, AL 35235-3401
(205) 838-3000
Mailing address
PO BOX 2726, BIRMINGHAM, AL 35202-2726
(888) 245-5525
(717) 653-8197
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-034092
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000072818
—
AL
01
—
430031339
PALMETTO GBA-RR MEDICARE
—
01
—
51072818
BCBS
AL
Enumeration date
02/15/2007
Last updated
12/08/2008
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