Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LC1500X | Nurse Practitioner - Community Health | 1482 | IA |
NPI | 1912070905 |
---|---|
Provider Name | Kara S Goslin |
First Address | Cedar Rapids, IA 52406-5610 |
Second Address | Cedar Rapids, IA 52403-1251 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/11/2006 |
Last Update Date | 12/11/2021 |