Individual
AUDREY GOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
612 W BASELINE RD, MESA, AZ 85210-6041
(480) 834-9039
Mailing address
612 W BASELINE RD, MESA, AZ 85210-6041
(480) 834-9039
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN200291
AZ
363LF0000X
Family Nurse Practitioner
Primary
RNP272440
AZ
Other
Enumeration date
09/26/2021
Last updated
03/11/2022
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