Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | AP133559 | TX |
NPI | 1023555224 |
---|---|
Provider Name | Mrs. Natalie Nicole Gould |
First Address | Midland, TX 79707-3102 |
Second Address | Midland, TX 79707-3102 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/01/2017 |
Last Update Date | 13/03/2017 |