Provider Demographics
NPI:1104843036
Name:GOSSETT, MARGARET (RN,NP)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:GOSSETT
Suffix:
Gender:F
Credentials:RN,NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8404 E SHEA BLVD
Mailing Address - Street 2:B100
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-6658
Mailing Address - Country:US
Mailing Address - Phone:480-440-4437
Mailing Address - Fax:480-443-4525
Practice Address - Street 1:8404 E SHEA BLVD
Practice Address - Street 2:B100
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-6658
Practice Address - Country:US
Practice Address - Phone:480-440-4437
Practice Address - Fax:480-443-4525
Is Sole Proprietor?:No
Enumeration Date:2006-07-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN094127174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist