Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 95003964 | CA |
N | 363LA2200X | Nurse Practitioner - Adult Health | 15274 | OH |
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 21826 | SC |
NPI | 1023442589 |
---|---|
Provider Name | Cassandra Goyal |
First Address | Charlotte, NC 28275-1461 |
Second Address | Charleston, SC 29425-8971 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/09/2013 |
Last Update Date | 02/10/2019 |