Individual
AMANDA LEE GOSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
108 KNELLS RIDGE BLVD, SUITE 100, CHESAPEAKE, VA 23320-4885
(757) 436-1234
Mailing address
2401 BAUM RD, CHESAPEAKE, VA 23322-1514
(757) 421-4060
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024170731
VA
Other
Enumeration date
06/27/2013
Last updated
06/27/2013
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