Provider Demographics
NPI:1568611168
Name:GOSS, LINDSAY JANE (RN)
Entity Type:Individual
Prefix:MISS
First Name:LINDSAY
Middle Name:JANE
Last Name:GOSS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:DEPT 1057
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80291-0001
Mailing Address - Country:US
Mailing Address - Phone:303-486-5500
Mailing Address - Fax:303-486-5502
Practice Address - Street 1:4200 W CONEJOS PL
Practice Address - Street 2:SUITE 516
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80204-1333
Practice Address - Country:US
Practice Address - Phone:303-629-3815
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-18
Last Update Date:2008-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO181342163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse