Individual
PAULINE M GOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5040 N 15TH AVE STE 104, PHOENIX, AZ 85015-3329
(623) 245-0505
(623) 245-3475
Mailing address
20701 N SCOTTSDALE RD STE 107-427, SCOTTSDALE, AZ 85255-6413
(623) 245-0505
(623) 245-3475
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
RN127520
AZ
363LP0200X
Pediatric Nurse Practitioner
Primary
AP1924
AZ
Other
Enumeration date
01/03/2007
Last updated
07/12/2018
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