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NPI Code Detail

MEDICARE: CYNTHIA GOSSEL RN

MEDICARE: CYNTHIA GOSSEL RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered NurseRN.359244OH

General Provider Information

NPI Number : 1336790922
Entity Type Code : Individual
Provider Name (Legal Business Name) : CYNTHIA GOSSEL RN
Provider Business Mailing Address
First Line : PO BOX 55
Second Line :
City : WALTON
State : KY
Zip : 41094-0055
Country : US
Telephone Number : 937-572-0119
Fax Number :
Provider Business Practice Location Address
First Line : 220 S BREIEL BLVD
Second Line :
City : MIDDLETOWN
State : OH
Zip : 45044-5106
Country : US
Telephone Number : 937-572-0119
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2019
Last Update Date : 08/24/2021

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