Individual
MITCHELL GOSVENER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
260 NEWPORT CENTER DR STE 503, NEWPORT BEACH, CA 92660-7520
(714) 334-5497
Mailing address
260 NEWPORT CENTER DR STE 503, NEWPORT BEACH, CA 92660-7520
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
NP95032721
CA
Other
Enumeration date
11/12/2024
Last updated
11/12/2024
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