Provider Demographics
NPI:1912345844
Name:GOFF, NICOLE HEATHER (WHNP-BC)
Entity Type:Individual
Prefix:
First Name:NICOLE
Middle Name:HEATHER
Last Name:GOFF
Suffix:
Gender:F
Credentials:WHNP-BC
Other - Prefix:
Other - First Name:NICOLE
Other - Middle Name:HEATHER
Other - Last Name:MYSLINSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:WHNP
Mailing Address - Street 1:200 HAWKINS DR
Mailing Address - Street 2:DEPT OF OB/GYN
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52242-1009
Mailing Address - Country:US
Mailing Address - Phone:319-356-2015
Mailing Address - Fax:319-357-6771
Practice Address - Street 1:200 HAWKINS DR
Practice Address - Street 2:DEPT OF OB/GYN
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52242-1009
Practice Address - Country:US
Practice Address - Phone:319-356-2015
Practice Address - Fax:319-357-6771
Is Sole Proprietor?:No
Enumeration Date:2013-06-13
Last Update Date:2017-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAF138193363LW0102X, 363LW0102X
MDR185301363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health