Provider Demographics
NPI:1487043709
Name:GOSSING, VALDENCIA (ARNP, FNP-C)
Entity Type:Individual
Prefix:
First Name:VALDENCIA
Middle Name:
Last Name:GOSSING
Suffix:
Gender:F
Credentials:ARNP, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31811 PACIFIC HWY S
Mailing Address - Street 2:B101
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98003-5646
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:31811 PACIFIC HWY S
Practice Address - Street 2:B101
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-5646
Practice Address - Country:US
Practice Address - Phone:253-444-5511
Practice Address - Fax:253-444-5512
Is Sole Proprietor?:No
Enumeration Date:2015-01-12
Last Update Date:2015-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP60475878363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily