Provider Demographics
NPI:1770598146
Name:GOCHENOUR, DENISE MILLER (FNP-C)
Entity type:Individual
Prefix:MS
First Name:DENISE
Middle Name:MILLER
Last Name:GOCHENOUR
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:591 S MONTEVIDEO CIR
Mailing Address - Street 2:
Mailing Address - City:PENN LAIRD
Mailing Address - State:VA
Mailing Address - Zip Code:22846-9786
Mailing Address - Country:US
Mailing Address - Phone:540-578-5090
Mailing Address - Fax:
Practice Address - Street 1:5301 N MAIN STREET
Practice Address - Street 2:CARE TEAM CORPORATE HEALTH CENTER
Practice Address - City:MOUNT JACKSON
Practice Address - State:VA
Practice Address - Zip Code:22842
Practice Address - Country:US
Practice Address - Phone:540-577-3302
Practice Address - Fax:703-429-9657
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2021-03-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0024129529363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily