Provider Demographics
NPI:1154086320
Name:GOOSSEN, MARGARET ELIZABETH (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:ELIZABETH
Last Name:GOOSSEN
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:ELIZABETH
Other - Last Name:BUTAUD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10550 QUIVIRA RD STE 520
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66215-2307
Mailing Address - Country:US
Mailing Address - Phone:913-310-0482
Mailing Address - Fax:913-894-1330
Practice Address - Street 1:10550 QUIVIRA RD STE 520
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66215-2307
Practice Address - Country:US
Practice Address - Phone:913-310-0482
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-03
Last Update Date:2022-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-80621-052363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily