Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | 22800 | CA |
N | 363LA2100X | Nurse Practitioner - Acute Care | 836069 | TX |
NPI | 1033550447 |
---|---|
Provider Name | Mercedes Gossett |
First Address | Orange, CA 92868-5700 |
Second Address | Orange, CA 92868-3849 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2013 |
Last Update Date | 13/09/2016 |