Individual
MRS. HEATHER ANN GOTSCHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
7954 LAURA ST NW, MASSILLON, OH 44646-9037
(330) 495-2355
Mailing address
7954 LAURA ST NW, MASSILLON, OH 44646-9037
(330) 495-2355
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.020654
OH
364SA2200X
Adult Health Clinical Nurse Specialist
APRN.CNS.16279
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
COA.16297-NS
ADVANCE NURSE PRACTITIONER
OH
Enumeration date
09/28/2014
Last updated
05/21/2020
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