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NPI Code Detail

MEDICARE: SUSAN M GOSSER R.N.

MEDICARE:   SUSAN M GOSSER  R.N.
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
1163WH0200XHome Health Registered NurseRN136127OH

General Provider Information

NPI Number : 1538577911
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN M GOSSER R.N.
Provider Business Mailing Address
First Line : 5044 DINSMORE RD
Second Line :
City : DAYTON
State : OH
Zip : 45449-2733
Country : US
Telephone Number : 937-546-2664
Fax Number :
Provider Business Practice Location Address
First Line : 5044 DINSMORE RD
Second Line :
City : DAYTON
State : OH
Zip : 45449-2733
Country : US
Telephone Number : 937-546-2664
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2014
Last Update Date : 07/29/2014

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Directions to “ SUSAN M GOSSER R.N.” Practice Location

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