Gooss, Brandy

Gooss, Brandy is an individual health care provider with primary practice located at 805 West Kansas , Jal NM 88252. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Gooss, Brandy can be contacted via phone (575) 395-3400.

Contact Information

Primary practice address
805 West Kansas Jal NM 88252
Phone: (575) 395-3400
Fax: (575) 395-2781
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X CNP01280 New Mexico

Profile Details

NPI number 1841449667
LBN Legal business name Gooss, Brandy
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2008
Last updated Dec 9th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841449667 NPPES
Other 8L6663 MEDICARE PTAN

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