Individual
MS. ANN CAROL GOFORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
505 PARNASSUS AVENUE, SAN FRANCISCO, CA 94143
(415) 353-8405
Mailing address
505 PARNASSUS AVENUE, UCSF MEDICAL CENTER, SAN FRANCISCO, CA 94143
(415) 353-8405
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
295566
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4152461001
NPI
CA
Enumeration date
06/04/2013
Last updated
06/04/2013
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